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December 19, 2023JTCVS TechniquesOpen Access

Aortic valve-sparing variants are getting closer

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Key result

Valve-sparing aortic root replacement with reimplantation was associated with better overall survival up to 4 years compared with remodeling, but this benefit was lost beyond 4 years.

Why the study?

Does valve-sparing aortic root replacement with reimplantation improve overall survival and reduce the need for reintervention compared with remodeling?

Comparison

Valve-sparing aortic root replacement with reimplantation vs with remodeling

Authors

MJMarek Jasiński

Discussion

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Overview

May inform valve-sparing root technique selection; leaves open long-term durability and randomized confirmation.

Structured PICO

Does valve-sparing aortic root replacement with reimplantation improve overall survival and reduce the need for reintervention compared with remodeling?

P
Population
Patients undergoing valve-sparing aortic root replacement
I
Intervention
Valve-sparing aortic root replacement with reimplantation
C
Comparator
Valve-sparing aortic root replacement with remodeling
O
Outcome
Overall survival and risk of need for reinterventionhard clinical

Valve-sparing aortic root replacement with reimplantation provides an early survival benefit up to 4 years compared to remodeling, though this benefit may not persist long-term and varies by valve phenotype.

Cite This Study

Marek Jasiński (2023) conducted an editorial in Aortic root replacement. Valve-sparing aortic root replacement with reimplantation vs. Valve-sparing aortic root replacement with remodeling was evaluated on Overall survival and need for reintervention. Valve-sparing aortic root replacement with reimplantation was associated with better overall survival up to 4 years compared with remodeling, but this benefit was lost beyond 4 years.

synapsesocial.com/papers/6a7c8eee178e986690cf7e0ahttps://doi.org/10.1016/j.xjtc.2023.12.003
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Also Consider

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

  1. 1Reimplantation versus remodeling in valve-sparing surgery for aortic root aneurysms: a meta-analysis2020 · 16 citations
  2. 2Outcomes in techniques of valve sparing aortic root replacement: A systematic review and meta‐analysis2020 · 13 citations
  3. 3Valve-sparing aortic root replacement using the reimplantation (David) technique: a systematic review and meta-analysis on survival and clinical outcome2023 · 24 citations
  4. 4Remodeling versus reimplantation in aortic root surgery – comparative results and risk factors for aortic insufficiency2023
  5. 5Aortic valve-sparing operations for aortic root and ascending aortic aneurysms2007 · 26 citations