| Aortic Root Geometry: Pattern of Differences Between Leaflets
and Sinuses of Valsalva Suk Jung Choo MD, George McRae PhD, James P. Olomon BS, Greg St. George PhD, Wayne Davis MD, Catherine L. Burleson-Bowles MS, David Pang MS, Hong He Luo MD, Daniela Vavra, David T. Cheung PhD, James H. Oury MD, Carlos M. G. Duran MD Growing interest in aortic root replacement and new developments in aortic valve conservation demand a deeper understanding of the normal aortic root anatomy. Ten cryopreserved human aortic roots were pressurized, fixed and measured directly (leaflet free edge and attachment) and using three-dimensional computed tomography imaging software (sinus of Valsalva height and volume). The mean of the measurements of all four parameters yielded a pattern in which the non-coronary sinus (N) structures had the greatest dimensions followed by the right (R) and then the left (L). Non-parametric ANOVA on each of these parameters also showed significant differences among the sinuses yielding a pattern of N>R>L. This pattern determined an angle of tilt between the plane at the base (annulus) and the plane intersecting the sinotubular junction with a mean value of 11[deg]. Linear regression indicated that this angle did not depend on the size of the base (annulus). The possible hemodynamic relevance and surgical implications of these findings need to be explored. |
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