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Ann Thorac Surg 1998;65:1631-1633
© 1998 The Society of Thoracic Surgeons
a Department of Cardiac Surgery, Medical University of Lübeck, Lübeck, Germany
Accepted for publication January 23, 1998.
Address reprint requests to Dr Bartels, Klinik für Herzchirurgie, Medical University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany
Background. Precise labeling of sizer and valve diameters is crucial for optimal valve selection especially in the small aortic root. This study examines the accuracy of manufacturers’ markings on small aortic prostheses and sizers.
Methods. Sizer and valve dimensions of 22 different mechanical aortic prostheses (19 to 23 mm) were evaluated by caliper micrometer measurements.
Results. Nearly all sizers exceeded their marked dimensions by up to 1.0 mm. Measured tissue annulus diameters for 19-mm-labeled valves varied between 18.3 and 19.6 mm, for 21-mm valves from 20.5 to 21.6 mm, and for 23-mm valves from 22.4 to 23.5 mm, respectively. The orifice areas ranged from 1.5 to 2.06 cm2 for 19-mm valves, from 2.0 to 2.55 cm2 for 21-mm valves, and from 2.4 to 3.09 cm2 for 23-mm valves, respectively.
Conclusions. Actual sizer dimensions and tissue annulus diameters of various small mechanical aortic prostheses varied considerably from their marked diameters. These differences should be considered to ensure the optimal prosthesis selection for each patient.
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