4.4 Article

Aortic valve-sparing root replacement or Bentall?

Journal

ANNALS OF CARDIOTHORACIC SURGERY
Volume 12, Issue 3, Pages 168-178

Publisher

AME PUBLISHING COMPANY
DOI: 10.21037/acs-2022-avs1-170

Keywords

Aortic root aneurysm; Bentall; valve-sparing; surgical strategy; outcomes

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This article reviews the development and refinement of surgical techniques for aortic root surgery over the past 50 years, and summarizes the latest evidence on early and long-term outcomes. Additionally, brief descriptions are provided on the use of valve-sparing technique in various clinical settings, including high-risk patients with connective tissue disorders or concomitant dissection.
Surgery of the aortic root is a challenging operation for which different techniques have been developed and refined over the last five decades. We present a review of surgical strategies and their most relevant modifications along with a summary of the most recent evidence on early and long-term outcomes. Additionally, we provide brief descriptions of the use of the valve-sparing technique in various clinical settings, including high-risk patients such as those with connective tissue disorders or concomitant dissection.

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