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May 1, 2023Annals of Cardiothoracic SurgeryOpen Access

Three decades of reimplantation of the aortic valve—the Brussels Experience

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Why the study?

Native valve preservation has become increasingly important, prompting progressive use of valve-sparing root replacement procedures such as the reimplantation technique.

Does valve-sparing root replacement with the reimplantation technique provide durable long-term survival and freedom from reintervention in adults with aortic root aneurysm or aortic regurgitation?

Population

652 adult patients undergoing valve-sparing root replacement with the reimplantation technique

Comparison

Root aneurysm without AR vs root aneurysm with AR vs isolated chronic AR

Design

Single-center prospective database cohort study

Authors

JJJama JahanyarCliniques Universitaires Saint-LucLKLaurent de KerchoveInterventional / Structural CardiologyBABardia ArabkhaniLeiden University Medical Center

Discussion

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Implication

Single-center reimplantation experience supports valve preservation in selected patients; leaves open need for prospective multicenter validation.

Structured PICO

Does valve-sparing root replacement with the reimplantation technique provide durable long-term survival and freedom from reintervention in adults with aortic root aneurysm or aortic regurgitation?

P
Population
652 adult (≥18 years) patients with aortic root aneurysm and/or aortic regurgitation who underwent valve-sparing root replacement with the reimplantation technique between March 1998 and January 2022. Subgroups included root aneurysm without AR (n=213), root aneurysm with AR (n=289), and isolated chronic AR (n=150).
I
Intervention
Valve-sparing root replacement with the reimplantation technique
O
Outcome
Survival, freedom from valve reintervention, and freedom from recurrent regurgitationhard clinical

Valve-sparing root replacement using the reimplantation technique provides excellent long-term survival comparable to the general population and high freedom from reoperation up to 12 years.

Cite This Study

Jahanyar et al. (2023) studied this question.

synapsesocial.com/papers/6a7e7fd7a73e9f6a108ec113https://doi.org/10.21037/acs-2023-avs1-23
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