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Updated: Feb 11, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
The great debate series: surgical treatment of aortic valve abnormalities in children
Yves d'Udekem1, James S Tweddell2, Tom R Karl3,4
1Cardiac Surgical Unit, Royal Children's Hospital, Melbourne, VIC, Australia.
Insights
This debate explores aortic valve (AoV) surgery challenges in infants and neonates. Experts discuss controversies and offer insights for complex pediatric valve cases.
Area of Science:
- Pediatric Cardiac Surgery
- Congenital Heart Disease
- Aortic Valve Interventions
Background:
- Aortic valve (AoV) problems in neonates and infants present significant surgical challenges.
- Despite extensive global experience, many controversies persist regarding AoV surgery in young children.
- This article addresses key issues in AoV surgery for pediatric patients.
Purpose of the Study:
- To present a debate on aortic valve surgery in infants and neonates.
- To highlight and discuss areas of controversy in pediatric AoV surgery.
- To provide insights for clinical decision-making in complex pediatric valve cases.
Main Methods:
- Expert panel discussion format.
- Focus on aortic valve surgery in pediatric populations, specifically neonates and infants.
- Inclusion of diverse and controversial topics within the field.
Main Results:
- Consolidated expert opinions and factual data on pediatric AoV surgery.
- Exploration of various challenging aspects of AoV interventions in the young.
- Presentation of differing viewpoints from leading international surgeons.
Conclusions:
- The debate aims to stimulate interest and discussion among surgical teams.
- Findings may assist in future decision-making for complex pediatric aortic valve cases.
- Highlights the need for continued research and collaboration in pediatric cardiac surgery.
Abstract:
This article is the latest in an EJCTS series entitled 'The Great Debates'. We have chosen the topic of aortic valve (AoV) surgery in children, with a focus on infants and neonates. The topic was selected due to the significant challenges that AoV problems in the young may present to the surgical team. There are many areas of active controversy, despite the vast accumulated world experience. We have tried to incorporate many of these issues in the questions posed, not claiming to be all-inclusive. The individuals invited to this debate are experts in paediatric valve surgery, with broad and successful clinical experiences on multiple continents. We hope that the facts and opinions presented in this debate will generate interest and discussion and perhaps prove useful in decision-making for future complex valve cases.
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