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Updated: Feb 5, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Correlating possible predisposing demographics and systemic conditions with the aortic root
Adegbenro Omotuyi John Fakoya1, David Adeiza Otohinoyi2, Adekunle Ebenezer Omole3
1Department of Anatomical Sciences, University of Medicine and Health Sciences, St. Kitts and Nevis; Department of Anatomical Sciences, School of Medicine, All Saints University, Roseau, Dominica.
Insights
Systemic factors like hypertension and BMI correlate with aortic root dimensions, particularly the aortic annulus. Blood glucose showed an unexpected link with the Sinus of Valsalva, prompting further investigation.
Area of Science:
- Cardiovascular Medicine
- Medical Imaging
- Public Health
Background:
- The aortic root, connecting the left ventricle to the aorta, is prone to dilation and aneurysm formation.
- Understanding factors influencing aortic root dimensions is crucial for managing cardiovascular pathologies.
Purpose of the Study:
- To investigate the relationship between systemic conditions (hypertension, diabetes, BMI) and aortic root dimensions.
- To explore correlations between specific aortic root components (aortic annulus, sinus of Valsalva) and systemic factors.
Main Methods:
- 169 adult volunteers of African descent underwent clinical assessments for blood pressure (BP), blood glucose (BG), and body mass index (BMI).
- Aortic root measurements, including aortic annulus (AA) and sinus of Valsalva (SV), were performed using ultrasound by a blinded investigator.
Main Results:
- Significant correlations were found between the aortic annulus diameter and both BMI and diastolic blood pressure.
- Blood glucose levels exhibited an unusual correlation with the sinus of Valsalva, distinct from its relationship with BP and BMI.
Conclusions:
- Systemic factors, including BMI and BP, play a role in aortic root dimensions, specifically the aortic annulus.
- The differential correlation of systemic factors with the aortic annulus versus the sinus of Valsalva warrants further research for educational insights.
Background:
The aortic root is an aggregate of various components that connects the left ventricle to the aorta. The most predominant pathologies have been associated with the dilation of the aortic root leading to aneurysms.
Aim:
This study is designed to measure the role of systemic morbidities such as hypertension, diabetes, and body mass index (BMI) on the dimension of the aortic root.
Materials And Methods:
Participants were volunteers of African descent who were recruited during and after an organized health fair by the medical students' body from All Saints University, School of Medicine. 169 participants consisting of 62 males and 107 females with ages ranging from 9 to 84 years agreed to volunteer by signing the consent after which a questionnaire was administered and a preliminary clinical procedure was used to check for blood pressure (BP), blood glucose (BG), and BMI. The measurement of the aortic root was carried out by an experienced single investigator who was not aware of the purpose of measurements, using a DUS-5000 ultrasound machine (Miami, Florida, USA) at a low-frequency micro-convex transducer preset to "adult cardiac" with a default frequency of 4 MHz.
Results:
Among the participants, 35.03%, 47.80%, and 29.11% had normal BP, BG, and BMI readings, respectively. The Chi-squared analysis identified a significant correlation between the diameter of the aortic annulus (AA) and BMI. Diastolic BP is also correlated with the diameter of the AA. Sinus of Valsalva (SV) showed an unusual correlation with BG as opposed to BP and BMI.
Conclusion:
The disparity in how a systemic factor individually correlates with the AA and the SV is not clear. The study targets to provide educational concept in this regard.
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