Results
We reviewed 25 patients that underwent rapid deployment valve implantation in the aortic position. For all patients we used the same valve system, INTUITY Valve System (Edwards Life Sciences LLC, Irvine, Calif). Overall, 36% of patients had the same size valve as the measured aortic annulus, 48% of patients had a valve implanted that was 1 mm different, and 16% of patients had 2 mm difference. (Figure 1) The mean annular size based on intraoperative TEE was 22.4 mm (range: 21-28 mm). The mean valve size that we implanted was 23.3 mm (range: 21-27 mm). (Graphic 1) There was no statistically significant difference between the mean annular measurement and the valve size selected (0.9 mm , p = 0.8). Echocardiograms were performed on postoperative visits at various intervals that were at least 1 month postoperatively. We identified 5 patients (20%) with trivial paravalvular leak at >1 month postoperative echocardiogram. There were no patients with moderate or severe paravalvular leaks. There was one patient (4%) who required pacemaker implantation.