Aortic valve-sparing root replacement or Bentall?

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.

Automated summary

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.