1983
DOI: 10.1016/s0003-4975(10)60687-x
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Optimal Insertion Technique for the Björk-Shiley Valve in the Narrow Aortic Ostium

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Cited by 15 publications
(9 citation statements)
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“…The optimization of percutaneous valve prosthesis implantation, in addition to its placement according to the patient’s native flow pattern, can be a means of ensuring its best performance after TAVI. 16 , 17 The generation of a blood flow with a hemodynamic pattern closer to the physiological one can have a beneficial impact on the patients’ survival. 18 , 19 …”
Section: Discussionmentioning
confidence: 99%
“…The optimization of percutaneous valve prosthesis implantation, in addition to its placement according to the patient’s native flow pattern, can be a means of ensuring its best performance after TAVI. 16 , 17 The generation of a blood flow with a hemodynamic pattern closer to the physiological one can have a beneficial impact on the patients’ survival. 18 , 19 …”
Section: Discussionmentioning
confidence: 99%
“…2a, 3a) suggest that elevated turbulence intensity occurs downstream from both orifices, but with the highest values in the flow from the minor orifice. Several groups have advocated that tilting-disc valves in the aortic position should be oriented with the larger orifice directed toward the noncoronary sinus (2,27). The tilting-disc valve in this orientation may create eccentric flow in the ascending aorta that is more similar to the normal pattern of spiraling flow, resulting in more favorable hemodynamics compared with a bileaflet valve.…”
Section: Discussionmentioning
confidence: 99%
“…Optimizing implantation and orientation of prosthetic valves according to native flow patterns may be one way to ensure best possible prosthetic performance (2). Improved hemodynamics may improve long-term patient survival (3) and has been shown to be a significant determinant of regression of left ventricular hypertrophy after aortic valve replacement (4).…”
mentioning
confidence: 99%
“…Nicks et al reported a technique for the enlargement of a small aortic root by an operation whereby the small aortic root has been enlarged by insertion of a Dacron fabric gusset that it will accommodate a larger sized prosthesis 17 . In many cases, enlarging the annulus by 2-4 mm may be sufficient.…”
Section: Nicks Proceduresmentioning
confidence: 99%