[Standardization of Valve-sparing Aortic Root Replacement Operation Using Aortic Root Remodeling Procedure Combined...

The natural prognosis of patients with aortic regurgitation (AR) has proved to be poorer than one might expect, thus surgical intervention should be recommended earlier than before. The most of patients with AR are relatively younger and therefore may benefit from aortic valvuloplasty (AVP) to eliminate prosthesis-related late adverse events. However, AVP does not seem popular enough because long-term durability after AVP is still unclear. For this purpose, long-term outcomes after AVP should be improved by standardizing the procedure, especially using aortic root remodeling procedure combined with external suture annuloplasty. The detail of the standardization of these procedures is outlined in this review briefly. We hope more and more aortic valves of the patients with not only aortic root dilatation but also isolated AR will be preserved based on this review in the near future.