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Updated: Jun 11, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Aortic valve-sparing operations
Davide Pacini1, Francesco D Petridis, Olivera Rasovic
1Department of Cardiac Surgery, University of Bologna, Policlinico S Orsola-Malpighi, via Massarenti, 9, 40138 Bologna, Italy. dav.pacini@gmail.com
Abstract:
Ascending aortic aneurysms involving the aortic root are usually treated with replacement of the ascending aorta and the aortic valve using a composite valved conduit. However, the aortic valve is usually normal and the dysfunction is due to an impairment of the other components of the aortic root. In these cases, the aortic root can be replaced, sparing the native aortic valve. Aortic valve-sparing operations have been demonstrated to be effective and durable. This article summarizes the principal methods of valve-sparing procedures, and describes the advantages and disadvantages of each method, and their impact on patient outcomes.
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