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Updated: Jun 24, 2026
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Midterm results aortic valve replacement with allograft]
A Mokrácek1, J Spatenka, H Pospísilová
1Kardiocentrum Nemocnice Ceské Budejovice. a.mokracek@seznam.cz
Vnitrni Lekarstvi
|April 8, 2009
Summary
Aortic allograft implantation shows good midterm results for adult patients. However, early mortality is higher in those with acute bacterial endocarditis and severe organ dysfunction.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Transplantation Immunology
Context:
- Aortic allograft implantation is a standard procedure in adult cardiac surgery.
- Bacterial endocarditis is a primary indication for aortic allograft use.
- Midterm outcomes of aortic allograft implantation require further evaluation.
Purpose:
- To present midterm results of aortic allograft implantation in the aortic position.
- To assess the safety and efficacy of aortic allografts in adult patients.
- To analyze early and late mortality associated with aortic allograft procedures.
Summary:
- Sixty-one aortic allografts were implanted in 60 adult patients between October 2002 and April 2008.
- The 30-day mortality rate was 15.0%, exclusively in patients with bacterial endocarditis.
- Late mortality was 1.6%, with a mean follow-up of 39.18 months.
Impact:
- Aortic allograft implantation demonstrates favorable midterm outcomes in the aortic position.
- High early mortality is linked to preoperative conditions, particularly acute bacterial endocarditis with severe organ dysfunction.
- These findings support aortic allograft use while highlighting the need for careful patient selection.
