Expert Consensus Statement: Anatomy, Imaging, and Nomenclature of Congenital Aortic Root Malformations

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art_TRETTER_Expert_Consensus_Statement_Anatomy_Imaging_and_Nomenclature_of_2023.PDF (1.38 MB)
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2023
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
CAMBRIDGE UNIV PRESS
Autores
TRETTER, Justin T.
SPICER, Diane E.
FRANKLIN, Rodney C. G.
BELAND, Marie J.
COOK, Andrew C.
CRUCEAN, Adrian
LOOMBA, Rohit S.
YOO, Shi-Joon
QUINTESSENZA, James A.
Citação
CARDIOLOGY IN THE YOUNG, v.33, n.7, p.1060-1068, 2023
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Over the past 2 decades, several categorizations have been proposed for the abnormalities of the aortic root. These schemes have mostly been devoid of input from specialists of congenital cardiac disease. The aim of this review is to provide a classification, from the perspective of these specialists, based on an understanding of normal and abnormal morphogenesis and anatomy, with emphasis placed on the features of clinical and surgical relevance. We contend that the description of the congenitally malformed aortic root is simplified when approached in a fashion that recognizes the normal root to be made up of 3 leaflets, supported by their own sinuses, with the sinuses themselves separated by the interleaflet triangles. The malformed root, usually found in the setting of 3 sinuses, can also be found with 2 sinuses, and very rarely with 4 sinuses. This permits description of trisinuate, bisinuate, and quadrisinuate variants, respectively. This feature then provides the basis for classification of the anatomical and functional number of leaflets present. By offering standardized terms and definitions, we submit that our classification will be suitable for those working in all cardiac specialties, whether pediatric or adult. It is of equal value in the settings of acquired or congenital cardiac disease. Our recommendations will serve to amend and/or add to the existing International Paediatric and Congenital Cardiac Code, along with the Eleventh iteration of the International Classification of Diseases provided by the World Health Organization.
Palavras-chave
URI
https://observatorio.fm.usp.br/handle/OPI/57767
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Coleções
Artigos e Materiais de Revistas Científicas - HC/InCor