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January 1, 2013

Aortic valve sparing operations demonstrated excellent long-term durability, with an overall survival of 69.3% and freedom from reoperation of 94.2% at 20 years.

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Population

Patients undergoing aortic valve sparing operations at a single institution

Design

Case_series

Follow-up

20 years

Key result

Aortic valve sparing operations demonstrated excellent long-term durability, with an overall survival of 69.3% and freedom from reoperation of 94.2% at 20 years.

Authors

TDTirone E. David

Discussion

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Member takes

Overview

Supports aortic valve sparing durability in selected patients; single-center data leaves generalizability open.

Study Design

Type

Cohort (n=374)

Multicenter

No

Structured PICO

P
Population
374 consecutive patients undergoing aortic valve sparing operations (reimplantation or remodeling) for aortic root aneurysm or insufficiency, followed for a mean of 7.2 years.
I
Intervention
Aortic valve sparing operations (reimplantation of the aortic valve and remodeling of the aortic root)
O
Outcome
Clinical outcomes at 20 years

This presentation summarizes a 20-year single-center clinical experience with aortic valve sparing operations.

Limitations

  • Single-center observational design
  • Potential selection bias in the choice between reimplantation and remodeling procedures
  • Lack of statistical power to detect significant differences in late aortic insufficiency between techniques

Cite This Study

Tirone E. David (2013) conducted a cohort in Aortic root aneurysm and aortic insufficiency (n=374). Aortic valve sparing operations was evaluated on Overall survival at 20 years. Aortic valve sparing operations demonstrated excellent long-term durability, with an overall survival of 69.3% and freedom from reoperation of 94.2% at 20 years.

synapsesocial.com/papers/6a20e0c7dc4e16663149d236https://doi.org/10.3978/j.issn.2225-319x.2012.11.15
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic Valve Sparing Operations: A Review2012 · 27 citations
  2. 2Aortic valve-sparing operations in patients with ascending aortic aneurysms1997 · 17 citations
  3. 3Aortic valve-sparing operations for aortic root and ascending aortic aneurysms2007 · 26 citations
  4. 4Aortic valve-sparing operations in patients with aneurysms of the aortic root or ascending aorta: preliminary results2005 · 7 citations
  5. 5Aortic valve sparing operations in aortic root aneurysms: remodeling or reimplantation?2013 · 23 citations