Key result
The modified Bentall procedure remains the gold-standard surgical treatment for patients requiring simultaneous replacement of the aortic valve and ascending aorta.
Why the study?
Simultaneous replacement of the ascending aorta and aortic valve has always been challenging, prompting a review of the most important technical advances and contributions over 70 years.
A historical review of the 70-year evolution of surgical techniques for combined replacement of the aortic valve and ascending aorta.
Affirms modified Bentall as standard for combined aortic replacement; leaves open need for prospective comparisons with alternatives.
Simultaneous replacement of the ascending aorta and aortic valve has always been a challenging procedure. Introduction of composite conduits, through various ingenious procedures and their modifications, has changed the outlook of patients with aortic valve disease and ascending aorta pathology. In the past 70 years, progress of surgical techniques and prosthetic materials has allowed such patients to undergo radical procedures providing excellent early and long-term results in both young and elderly patients. This article aims to review the most important technical advances in the treatment of aortic valve disease and ascending aorta aneurysms recognizing the important contributions in this field.
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Vendramin et al. (2021) conducted a review in Aortic valve disease and ascending aorta aneurysm. Combined replacement of aortic valve and ascending aorta was evaluated. The modified Bentall procedure remains the gold-standard surgical treatment for patients requiring simultaneous replacement of the aortic valve and ascending aorta.
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