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. 2023 Jun 19;19(3):256–266. doi: 10.4244/EIJ-D-22-00843

Table 2. Baseline echocardiographic and computed tomography characteristics according to leaflet position and mechanism of valve expansion.

Characteristic Overall (n=1,378) Supra-annular valve (n=920) Intra-annular valve (n=458) p-value (supra-annular vs intra-annular) Self-expanding valve (n=1,092) Balloon-expandable valve (n=286) p-value (self-expanding vs balloon-expandable)
Mean AV gradient, mmHg 47.7±16.0 49.0±16.1 45.3±15.5 <0.001 48.6±16.1 44.3±15.3 <0.001
Maximum AV gradient, mmHg 77.6±24.8 80.0±24.7 72.9±24.2 <0.001 79.0±24.7 72.3±24.4 <0.001
EOA, cm2 0.64±0.21 0.63±0.18 0.66±0.25 0.023 0.64±0.19 0.67±0.27 0.034
sPAP, mmHg 40.3±13.7 39.6±13.0 41.9±15.1 0.012 40.1±13.3 41.5±15.2 0.189
TAPSE, mm 20.9±3.6 21.0±3.7 20.3±2.9 0.076 21.0±3.6 20.0±2.9 0.059
Bicuspid AV 4.3 (49) 3.4 (24) 5.8 (25) 0.053 3.5 (30) 7.3 (19) 0.007
Moderate or greater AR 6.7 (83) 8.3 (67) 3.8 (16) 0.003 7.6 (74) 3.4 (9) 0.017
Moderate or greater MR 8.8 (112) 10.4 (88) 5.6 (24) 0.004 10.4 (105) 2.6 (7) <0.001
Moderate or greater TR 6.9 (74) 8.1 (54) 5.0 (20) 0.056 7.8 (65) 3.8 (9) 0.033
Ejection fraction, % 59.2±10.7 58.1±10.9 61.4±9.9 <0.001 58.4±10.6 62.2±10.2 <0.001
LVEF <40% 5.1 (71) 6.1 (56) 3.3 (15) 0.026 5.7 (62) 3.1 (9) 0.085
CT data
Mean annular diameter, mm 21.2±1.3 21.2±1.4 21.3±1.1 0.084 21.2±1.3 21.4±1.0 0.005
Maximum diameter, mm 23.7±1.8 23.6±1.9 23.9±1.6 <0.001 23.6±1.9 24.0±1.4 0.005
Minimum diameter, mm 18.8±1.8 18.8±1.9 18.7±1.6 0.457 18.7±1.9 18.9±1.5 0.212
Annular eccentricity 1.27±0.17 1.27±0.17 1.29±0.17 0.029 1.27±0.17 1.28±0.18 0.553
Mean aortic annular perimeter, mm 66.9±4.3 67.3±3.6 66.0±5.3 <0.001 67.4±3.6 65.0±5.9 <0.001
Mean aortic annular area, mm2 350.1±34.4 347.1±35.5 355.5±31.6 <0.001 346.5±35.1 362.3±28.7 <0.001
Area-derived diameter, mm 21.1±1.1 21.0±1.1 21.3±1.0 <0.001 21.0±1.1 21.5±0.9 <0.001
Perimeter-derived diameter, mm 21.3±1.5 21.4±1.2 21.0±1.7 <0.001 21.5±1.1 20.7±1.9 <0.001
Severe leaflet calcification 19.3 (185) 18.5 (107) 20.6 (78) 0.421 17.1 (115) 24.5 (70) 0.008
Severe annular calcification 4.4 (38) 6.2 (29) 2.2 (9) 0.005 5.6 (34) 1.5 (4) 0.008
Severe LVOT calcification 4.1 (40) 5.7 (34) 1.6 (6) 0.001 5.2 (36) 1.4 (4) 0.006
LMCA diameter, mm 12.5±2.6 12.4±2.5 12.6±2.7 0.184 12.3±2.5 12.8±2.6 0.003
RCA diameter, mm 14.4±2.8 14.2±3.0 14.6±2.5 0.034 14.3±2.9 14.7±2.5 0.042
Sinotubular junction diameter, mm 25.9±2.7 25.8±2.8 26.0±2.5 0.144 25.9±2.8 25.9±2.4 0.927
Sinus of Valsalva diameter, mm 28.7±2.5 28.8±2.5 28.6±2.5 0.180 28.9±2.5 28.4±2.5 0.013
Ascending aorta diameter, mm 31.9±3.9 31.6±3.9 32.3±3.9 0.016 31.9±4.0 32.0±3.8 0.657
Porcelain aorta 5.1 (61) 2.7 (21) 9.4 (40) <0.001 3.2 (30) 11.9 (31) <0.001
Values are mean±standard deviation or % (n). The values in bold represent differences between groups with p<0.100. AR: aortic regurgitation; AV: aortic valve; CT: computed tomography; EOA: effective orifice area; LMCA: left main coronary artery; LVEF: left ventricular ejection fraction; LVOT: left ventricular outflow tract; MR: mitral regurgitation; RCA: right coronary artery; RV: right ventricular; sPAP: systolic pulmonary artery pressure; TAPSE: tricuspid annular plane systolic excursion; TR: tricuspid regurgitation