Minimizing transaortic valve gradient in a young female with a large body habitus and small annulus: a case report.

ABSTRACT:

Background

Aortic valve replacement in the setting of a small aortic anulus and a large body habitus is challenging. A surgical aortic valve replacement (AVR) implanted circumferentially onto this native annulus will predictably result in patient-prosthesis mismatch (PPM). We discuss the decision making process for the management of this patient.

Case presentation

We report our management strategy for a younger patient (55 years old) with a very large body habitus (body mass index = 63.3 kg/m²). She had severe aortic stenosis in a small aortic annulus (diameter = 18 mm) and moderate-severe mitral stenosis. She underwent double mechanical valve replacement which included a Y-incision root enlargement to reduce obstruction to the left ventricular outflow tract (LVOT

SUBMITTER: Lu S 

PROVIDER: S-EPMC12534932 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature