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• W2897904174 abstract "Congratulations to Liu and colleagues [1Liu S. Shi Y. Liu R. Tong M. Luo X. Xu J. Early prognosis of reduction ascending aortoplasty in patients with aortic valve disease: a single center’s experience.Ann Thorac Surg. 2017; 103: 511-516Abstract Full Text Full Text PDF PubMed Scopus (10) Google Scholar] for this valuable effort. We want to point out some issues about their study. As a basic principle of physics it is obvious that turbulent blood flow will appear after aortic valve replacement because of the inflexible stent of the prosthetic valve (rigid structures do not change diameter). The pathogenesis of aortic aneurysm includes degeneration and rupture of the myofibrils of the vascular wall. According to Laplace’s law, the larger the vessel radius is, the greater the required wall tension will be to withstand a given internal fluid pressure. Therefore, these patients are followed with measurements of their aortic diameters. In Table 1 of the paper by Liu and colleagues [1Liu S. Shi Y. Liu R. Tong M. Luo X. Xu J. Early prognosis of reduction ascending aortoplasty in patients with aortic valve disease: a single center’s experience.Ann Thorac Surg. 2017; 103: 511-516Abstract Full Text Full Text PDF PubMed Scopus (10) Google Scholar], the numbers of patients with ascending aorta diameters larger than 5 cm are significantly different between the groups with and without bicuspid aortic valves. This issue may create a standardization problem when performing anterior resection of the ascending aorta because myofibrils may be disrupted at the posterior wall, but the intact anterior aortic wall may be resected with anterior resection. Another problem with this study could be the absence of information on the size and brand names of the prosthetic valves. These factors may have an effect on follow-up of aortic dilation. If aortic diameter is a measurement, indexing with the patient’s height or body surface area may give more accurate results. Early Prognosis of Reduction Ascending Aortoplasty in Patients With Aortic Valve Disease: A Single Center’s ExperienceThe Annals of Thoracic SurgeryVol. 103Issue 2PreviewDilatation of the ascending aorta tends to develop in individuals with aortic valve disease. Reduction ascending aortoplasty (RAA) is an alternative procedure to ascending aortic replacement. This study was designed to identify the early prognosis of RAA for patients with aortic valve disease and dilatation of the ascending aorta. Full-Text PDF ReplyThe Annals of Thoracic SurgeryVol. 107Issue 2PreviewWe appreciate Dr Yurekli and colleagues’ [1] interest in and considerate comments on our published article [2]. As they pointed out, more patients with a preoperative diameter of ascending aorta larger than 5 cm were found in the bicuspid aortic valve (BAV) group than in the non-BAV group. Although there was no significant difference in the preoperative ascending aortic diameter between the two groups, we must admit that the study is subject to the limitations inherent in a retrospective analysis of observational data. Full-Text PDF" @default.
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• W2897904174 date "2019-02-01" @default.
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• W2897904174 title "Early Prognosis of Reduction Ascending Aortoplasty" @default.
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• W2897904174 doi "https://doi.org/10.1016/j.athoracsur.2018.08.029" @default.
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