November 1, 2007Journal of Cardiac Surgery
Aortic Valve Repair and Root Preservation by Remodeling, Reimplantation, and Tailoring: Technical Aspects and Early Otcome
Population
388 patients with ascending aortic aneurysms and various pathologies and varying degrees of aortic…
Design
Cohort
Follow-up
hospital stay (early outcome)
Authors
Discussion
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Member takes
Implication
Supports root preservation with leaflet repair in ascending aortic disease; extends observational evidence but leaves open long-term comparative outcomes.
Structured PICO
P
Population
388 patients with ascending aortic aneurysms and various pathologies (dissection n=140, Marfan syndrome n=39, bicuspid valve n=78, degenerative aneurysm n=142) and varying degrees of aortic regurgitation.
I
Intervention
Aortic root preserving procedures (reimplantation n=72, remodeling n=77, tailoring n=239) with or without concurrent leaflet repair (n=197) and additional procedures as needed.
O
Outcome
Hospital survival, stroke, postoperative aortic regurgitation, and reoperation for aortic valve failure before discharge.hard clinical
Aortic root preserving procedures with concurrent leaflet repairs yield excellent early survival and low reoperation rates for diverse ascending aortic pathologies.
Cite This Study
Svensson et al. (2007) studied this question.