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Updated: Jun 16, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Reoperations on the aortic root: experience in 46 patients
Pietro G Malvindi1, Bart P van Putte, Robin H Heijmen
1Department of Cardiothoracic Surgery, St. Antonius Hospital, Nieuwegein, The Netherlands. pmalvin@tin.it
The Annals of Thoracic Surgery
|January 28, 2010
Summary
Reoperation on the aortic root is challenging but offers acceptable mortality and good long-term survival. Postoperative complications remain a concern, highlighting the need for careful management in aortic root repair.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- Advances in aortic root repair and increased use of biologic conduits necessitate reoperation strategies.
- Reoperation on the aortic root presents significant challenges despite successful primary procedures.
Purpose of the Study:
- To evaluate the outcomes of aortic root reoperations.
- To identify risk factors and assess survival rates following aortic root re-replacement.
Main Methods:
- Retrospective review of 46 patients undergoing aortic root reoperation over 7 years.
- Indications included infection, false aneurysm, and prosthesis failure; 39 patients had aortic root re-replacement.
- Univariate and multivariate analyses were performed on perioperative variables.
Main Results:
- In-hospital mortality was 6.5%, with perioperative myocardial infarction as a risk factor.
- Postoperative complications occurred in 41% of patients.
- One-year survival was 88%, and five-year survival was 74%; freedom from reoperation was high.
Conclusions:
- Aortic root reoperation can be achieved with acceptable mortality and good midterm/long-term outcomes.
- High postoperative complication rates underscore the complexity of these procedures.
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