The height of the sinuses of Valsalva depending on anthropometric data among Ukrainian population

Abstract

Sinuses of Valsalva height is an important parameter in planning cardiac surgery, percutaneous coronary intervention and transcatheter aortic valve implantation (TAVI). The aim of the study is to analyze the height of the sinuses of Valsalva depending on height, weight, body mass index, body surface area, and sex using computed tomography angiography images in Ukrainian population. 59 chest computed tomography angiography examination for non-cardiac reasons were retrospectively evaluated. Data were collected from Ukrainian citizen. The height of the Sinuses of Valsalva was measured as the distance between aortic annulus and sinotubular junction. All three sinuses of Valsalva height were higher in men than in women (p<0.001). In men, three Sinuses of Valsalva had a correlation with height and body surface area (BSA) (р<0.05). In women, a correlation has been confirmed only between anthropometric measurements and the height of left and right coronary sinuses (р<0,05). The left coronary sinus height had a correlation with height, weight, body mass index (BMI) and BSA (р<0,05). The right coronary sinus height had a correlation with weight, BMI, and BSA (р<0.05). The parameters of the non-coronary sinus in women do not have confirmed direct correlations with any anthropometric measurements observed. The sinuses of Valsalva height is higher in males. The most significant confirmed correlations were between height and left and right coronary sinuses in men and women. Increased size of sinuses in men correlated with an increase of height, weight and decrease of BMI and BSA values.

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“…As of today, two options for aortic root aneurysm surgeries are available: valve-sparing aortic root replacement or remodeling (David operation, Yacoub procedure, Urbanski operation, neocuspidalization by Ozaki) and valved conduit aortic root replacement (Bentall-de-Bono surgery, full root technique, Wheat procedure)(Hennessey et al, 2020;Task et al, 2014; Valdis et al, 2019). Almost all procedures (except Wheat procedure, Ozaki procedure) require reimplantation of coronary ostia(Pidvalna et al, 2022). The criteria for selecting the type of surgery are the following: the higher the sinuses of Valsalva height, the higher the chances of a valve-sparing procedure.…”

Modeling of Valsalva sinuses and coronary artery ostia height parameters, depending on age-anthropometric indicators in healthy men based on computed tomography

“…Using CT images, in previous studies, we performed a morphometric analysis of the aortic bulb and established a correlation between the values of the height of the aortic sinuses, the height of the exit of the coronary arteries and anthropometric indicators in healthy men [11,12]. The results of the research led to the next stage -prognostic modeling of height indicators, to prove the correctness of the constructed logical model and to test it by calculating the predicted values of vascular parameters for two men with different anthropometric and age parameters without damage to the cardiovascular system, who were interpreted as the norm.…”