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February 4, 2023Complex Issues of Cardiovascular DiseasesOpen Access

Literature analysis demonstrates either relative identity of early and long-term results of reimplantation and remodeling procedures, or an advantage of reimplantation in terms of freedom from late mortality and residual aortic insufficiency.

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Why the study?

The effectiveness and durability of reimplantation versus remodeling in valve-sparing aortic root replacement remain subjects of ongoing debate in cardiac surgery.

Does reimplantation compared to remodeling improve long-term outcomes and reduce residual aortic insufficiency in patients undergoing aortic root valve-sparing surgery?

Population

Patients undergoing valve-sparing aortic root replacement

Comparison

Reimplantation versus remodeling techniques

Design

Literature review

Authors

РКР. Н. КомаровAIA.M. IsmailbaevADA. N. Dzyundzya

Discussion

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Overview

May favor reimplantation for long-term outcomes; leaves open need for randomized confirmation.

Structured PICO

Does reimplantation compared to remodeling improve long-term outcomes and reduce residual aortic insufficiency in patients undergoing aortic root valve-sparing surgery?

P
Population
Patients undergoing aortic root valve-sparing surgery
I
Intervention
Reimplantation technique (David procedure)
C
Comparator
Remodeling technique (Yacoub procedure)
O
Outcome
Early and long-term clinical outcomes, freedom from late mortality, and residual aortic insufficiencyhard clinical

Reimplantation may provide better long-term freedom from mortality and residual aortic insufficiency compared to remodeling in aortic root valve-sparing surgery.

Cite This Study

Комаров et al. (2023) studied this question.

synapsesocial.com/papers/6a891410d5f4e697bb131fcahttps://doi.org/10.17802/2306-1278-2022-11-4s-182-193
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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. 3Aortic valve-sparing variants are getting closer2023
  4. 4Aortic valve sparing operations in aortic root aneurysms: remodeling or reimplantation?2013 · 23 citations
  5. 5Outcomes of valve-sparing surgery in heritable aortic disorders: results from the AVIATOR registry2022 · 33 citations