remodelling and reimplantation procedures) compared to the outcomes of patients having composite valve-graft conduit aortic root replacement (CVG-ARR) (i.e. The objective of this study was to provide large-scale clinical outcomes after VSRR and to compare the survival and valve-related outcomes of patients having VSRR (i.e. Moreover, there is evidence that valve-sparing procedures are associated with superior results in terms of valve-related outcomes and haemodynamics, although the patient cohorts in these studies are small and not homogeneous. Due to the efforts of expert centres, some attempts to standardize the approach and technique in order to enhance the reproducibility and dissemination of valve-sparing procedures have been successful, also in less experienced centres. However, valve-sparing procedures have gained popularity in the last decade. Īn analysis of the Society of Thoracic Surgeons database reported that only 14% of patients with AI are treated with a valve-sparing procedure whereas the majority of valves are replaced. According to the latest European Society of Cardiology and European Association for Cardio-Thoracic Surgery (ESC/EACTS) guidelines on valvular heart disease, valve-sparing root replacement (VSRR) is indicated and preferred above valve replacement, especially in younger patients and when performed in experienced centres. However, the clinical and valve-related data comparing outcomes from aortic valve-sparing surgery to those from surgical replacement in patients with comparable characteristics are limited.Īpproximately 10% of patients with aortic valve disease are diagnosed with aortic valve insufficiency (AI) due to an aortic root aneurysm or other pathology often they are young patients. Valve-sparing aortic root surgery is the alternative to valve replacement in patients with aortic root dilatation with or without aortic insufficiency. Valve-sparing root replacement, aortic valve-repair, Bentall INTRODUCTION
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