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Updated: May 17, 2026
12:17
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Aortic root replacement for ascending aortic disease: a 10 year review
1Department of Cardiothoracic Surgery, Royal Perth Hospital, Western Australia, Australia.
Heart, Lung & Circulation
|November 6, 2012
Summary
This study reviewed 10 years of Aortic Root Replacement (ARR) outcomes. Factors like hemodynamic instability increased in-hospital mortality, while bicuspid valves showed fewer complications but similar survival.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- Bentall's procedure and modifications are established treatments for ascending aortic disease.
- This study evaluates 10 years of Aortic Root Replacement (ARR) experience.
Purpose of the Study:
- To review outcomes of Aortic Root Replacement (ARR).
- To identify factors influencing mortality and complications after ARR.
Main Methods:
- Retrospective chart review of 89 patients undergoing ARR between 1999 and 2009.
- Analysis of patient demographics, indications, concomitant procedures, and outcomes.
Main Results:
- Aortic Root Aneurysm (65%) and type A dissection (28%) were primary indications.
- Operative mortality was 3.3%, with in-hospital mortality at 12.3%.
- Bicuspid aortic valve was present in 37% of patients; no re-operations were needed.
Conclusions:
- Pre-operative hemodynamic instability, coronary artery disease, and acute renal failure correlated with higher in-hospital mortality.
- Bicuspid aortic valves may reduce complication rates but do not impact mortality.
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