Why the study?
Conventional aortic root and valve-sparing root replacement surgery are two current surgical treatments for aortic dilatation syndromes, prompting a review of the current literature surrounding these established techniques.
Does valve-sparing root replacement surgery improve mortality and postoperative complications compared to conventional aortic root surgery in patients with aortic dilatation syndromes?
Does valve-sparing root replacement surgery improve mortality and postoperative complications compared to conventional aortic root surgery in patients with aortic dilatation syndromes?
Valve-sparing root replacement surgery is a safe and established treatment for aortic syndromes that avoids risks associated with prosthetic valves.
Answers are grounded in this paper and cite their sources.
Valve-sparing root replacement was associated with lower long-term mortality; leaves open need for randomized confirmation before changing practice.
INTRODUCTION: Conventional aortic root and valve-sparing root replacement surgery are two current surgical treatments for aortic dilatation syndromes. This review article aims to review the current literature surrounding these two established techniques. AREAS COVERED: This review article will address the current indications for valve-sparing root replacement surgery, technical considerations in surgical planning and a comparison of clinical outcomes between these two surgical techniques. EXPERT OPINION: Valve-sparing root replacement surgery is a safe and established treatment for aortic syndromes. Valve-sparing surgery procedure avoids the inherent risk of prosthetic valve dysfunction and prosthesis infection by preserving the native aortic valve compared to conventional aortic root surgery. This has been demonstrated in various observational studies and should be considered in clinically and anatomically appropriate patients. Other technical considerations, such as reimplantation versus remodeling technique and aortic cusp repair in select patients, may impact in short-term procedural and long-term clinical success with valve-sparing surgery.
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Rashid et al. (2022) studied this question.
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