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May 1, 2023Annals of Cardiothoracic SurgeryOpen Access

Aortic valve-sparing root replacement or Bentall?

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Why the study?

Aortic root surgery is challenging, with multiple techniques developed over five decades requiring a review of strategies and recent evidence on outcomes.

How do early and long-term outcomes compare between aortic valve-sparing root replacement and the Bentall procedure in patients requiring aortic root surgery?

Population

Patients undergoing aortic root surgery, including high-risk patients with connective tissue disorders or dissection

Comparison

Aortic valve-sparing root replacement vs Bentall procedure

Design

Review

Authors

EIErin IannaconeNewYork–Presbyterian HospitalCLChristopher LauInterventional / Structural CardiologyGSGiovanni SolettiInterventional / Structural Cardiology

Discussion

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Member takes

Implication

Current evidence synthesis supports individualized aortic root strategies; leaves open need for randomized valve-sparing versus Bentall comparisons.

Structured PICO

How do early and long-term outcomes compare between aortic valve-sparing root replacement and the Bentall procedure in patients requiring aortic root surgery?

P
Population
Patients requiring aortic root surgery, including high-risk patients such as those with connective tissue disorders or concomitant dissection
I
Intervention
Aortic valve-sparing root replacement
C
Comparator
Bentall procedure
O
Outcome
Early and long-term outcomes

This review summarizes surgical strategies, modifications, and evidence on early and long-term outcomes for aortic root surgery, including the use of valve-sparing techniques in high-risk clinical settings.

Cite This Study

Iannacone et al. (2023) studied this question.

synapsesocial.com/papers/69d8eea617a1cc0598d18de9https://doi.org/10.21037/acs-2022-avs1-170
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Two decades of valve-sparing root reimplantation in tricuspid aortic valve: impact of aortic regurgitation and cusp repair2020 · 43 citations
  2. 2Aortic valve-sparing root replacement in patients with bicuspid aortic valve: long-term outcome with the David I procedure over 20 years2020 · 29 citations
  3. 3Additional cusp reconstruction does not compromise valve durability and mid-term survival after the David procedure: results from 449 patients2020 · 8 citations