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Updated: Jul 14, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Valve-sparing operation for aortic root aneurysm late after Mustard procedure
Masamichi Ono1, Heidi Goerler, Dietmar Boethig
1Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany. ono.masamichi@mh-hannover.de
Valve-sparing aortic root reimplantation offers excellent outcomes for aortic valve incompetence and ascending aorta aneurysms. This technique was successfully used for late aortic root dilatation after a Mustard operation.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Cardiac Surgery
Background:
- Aortic valve reimplantation is a recognized technique for aortic valve incompetence and ascending aorta aneurysms.
- It has been successfully applied in various complex aortic conditions, including aortic dissection type A and pulmonary autograft dilatation post-Ross operation.
Observation:
- The study presents a unique case of a patient with aortic root dilatation occurring late after a Mustard operation for transposition of the great arteries.
Findings:
- The patient underwent successful valve-sparing aortic root reimplantation.
- This demonstrates the efficacy of the technique in managing complex aortic pathologies beyond its initial indications.
Implications:
- Valve-sparing aortic root reimplantation is a viable and effective treatment for late aortic root dilatation following the Mustard procedure.
- This expands the application of this organ-preserving technique in complex congenital heart disease scenarios.
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