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Updated: Jan 3, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Procedures and Outcomes of Surgical Aortic Valve Replacement in Adults
Amine Mazine1, Ismail El-Hamamsy2
1Division of Cardiac Surgery, University of Toronto, Toronto, Ontario, Canada; Montreal Heart Institute, 5000 Belanger Street East, Montreal, Quebec H1T 1C8, Canada. Electronic address: https://twitter.com/AmineMazineMD.
Abstract:
The ideal aortic valve substitute remains elusive. Bioprosthetic valves are the replacement option of choice in elderly patients undergoing aortic valve replacement (AVR). When implanted in young and middle-aged adults, both bioprosthetic and mechanical valves are associated with excess mortality compared with the age- and sex-matched general population. The Ross procedure is the only operation that can restore normal life expectancy in young and middle-aged adults undergoing AVR. In this article, the authors review the various options for surgical AVR and examine their contemporary applications and outcomes.
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