CarboMedics Aortic Valve Selection Calculator
This calculator allows you to make a quick determination of the optimal CarboMedics aortic valve for your patient using the concept of Effective Orifice Area Index (EOAI). EOAI enables the surgeon to avoid patient/prosthesis mismatch by maintaining a minimum ratio of the valve's effective orifice area (EOA) in cm2 to the patient's Body Surface Area (BSA) in m2. As a result of the work of Pibarot
1 BSAI of 0.85 or greater is generally considered optimal. BSAI is defined as:
BSAI = EOA/BSA
The process works like this:
- You insert the sex, weight, and height of your patient.
- The calculator determines the body surface area (BSA) of your patient.
- Using the BSA of your patient, a program then scans the Effective Orifice Areas (EOA) of CarboMedics aortic valves to determine which valve or valves provide your patient with a Body Surface Area Index (BSAI) of 0.85 or greater.
- A box appears with valve sizes and types.
Remember, the Top Hat valve allows you to upsize by as much as two sizes. So, don't be surprised to see a size 23 Top Hat recommended for a 19mm annulus.
Lean Body Weight (men) = (1.10 x Weight(kg)) - 128 (
Weight
2/(100 x Height(m))
2)
Lean Body Weight (women) = (1.07 x Weight(kg)) - 148 (
Weight
2/(100 x Height(m))
2)
Ideal Body Weight (men) = 50 + 2.3 ( Height(in) - 60 )
Ideal Body Weight (women) = 45.5 + 2.3 ( Height(in) - 60 )
Body Mass Index = Weight(kg) / Height(m)2
Body Surface Area = 0.20247 x Height(m)0.725 x
Weight(kg)0.425
1. Pibarot P and Dumesmil J. Hemodynamic and clinical Impact of prosthesis-patient mismatch in the aortic valve position and its prevention. J Am Coll Cardiol Vol. 36, No. 4, 2000.