Why the study?
The Bentall procedure has been the standard operation for aortic root involvement in ATAAD, but valve-preserving aortic root repair remains controversial.
Does aortic root repair provide non-inferior survival and reoperation rates compared to the Bentall procedure in patients with acute type A aortic dissection with aortic root involvement?
Population
1075 ATAAD patients with aortic root involvement
Comparison
Aortic root repair vs Bentall procedure
Design
Retrospective propensity score matching analysis
Follow-up
Median 44 months
Authors
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Root repair may be a viable alternative to Bentall in ATAAD; leaves open need for randomized confirmation of midterm outcomes.
Does aortic root repair provide non-inferior survival and reoperation rates compared to the Bentall procedure in patients with acute type A aortic dissection with aortic root involvement?
Aortic root repair offers a valve-sparing alternative to the Bentall procedure in acute type A aortic dissection with comparable mid-term survival and reoperation rates.
Li et al. (2023) studied this question.
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