In Whom Should LVOT/Aortic Root Enlargement Be Performed at the Time of AVR

In Whom Should LVOT/Aortic Root Enlargement Be Performed at the Time of AVR

Guest: Juan A. Crestanello, M.D.

Host: Kyle W. Klarich, M.D. (@KyleWKlarich)

Whom should an LVOT and/or Root Enlargement be performed at the time of an aortic value replacement? You will learn what a root enlargement is, why and how it is done, things to avoid, what to allow for in the future. You will hear what the risks of performing a root enlargement are and if it can be done in a redo surgery as well as its alternatives. 

Joining us today to discuss In Whom Should LVOT/Aortic Root Enlargement Be Performed at the Time of AVR is Juan A. Crestanello, M.D., Professor of Surgery, Chair of the Department of Cardiovascular Surgery at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

• What is an aortic root enlargement? How is it done?
• Why do a root enlargement? Avoid patient prosthesis mismatch, allow for ViV in the future, prevent structural valve deterioration
• What is the risk of performing a root enlargement?
• Can you do a root enlargement in a redo surgery?
• What are the alternatives to a root enlargement?

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV.

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Podcast episode transcript found here.