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Updated: May 9, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Reoperative aortic root replacement].
Shunsuke Miyahara1, Yutaka Okita
1Division of Cardiovascular Surgery, Kobe University School of Medicine, Kobe, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 7, 2013
Summary
Reoperative aortic root replacement offers acceptable outcomes for complex aortic pathologies. This study details procedures and results for 50 patients, showing a 10-year survival of 84.6%.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Context:
- Secondary aortic root replacement is a complex procedure following initial aortic operations.
- Reoperations address complications like dilation, abscess, dissection, pseudoaneurysm, graft infection, and valve dysfunction.
- This study analyzes outcomes of reoperative aortic root replacement in 50 patients over a 14-year period.
Purpose:
- To present the technical details and outcomes of secondary aortic root replacement.
- To evaluate the safety and efficacy of reoperative aortic root replacement in patients with complicated aortic pathologies.
- To assess in-hospital mortality, long-term survival, and freedom from re-operation.
Summary:
- Fifty patients underwent reoperative aortic root replacement between 1999 and 2013, with various previous operations and indications for reoperation.
- Surgical techniques included Bentall operation, valve-sparing root replacement, and partial Valsalva sinus replacement.
- In-hospital mortality was 8.0%, with a 10-year actuarial survival of 84.6% and freedom from third-time aortic root operation of 90.2%.
Impact:
- Reoperative aortic root replacement is a viable option for managing complex aortic diseases, offering acceptable long-term results.
- The findings support the continued use of reoperative aortic root replacement in challenging surgical cases.
- This research contributes to understanding the risks and benefits of repeat aortic root surgery.
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