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Updated: Jul 28, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Aortic valve-sparing operations: my perspectives
Jennifer L Perri1, Edward P Chen1
1Division of Cardiovascular and Thoracic Surgery, Duke University Medical Center, Durham, NC USA.
Abstract:
Valve-sparing procedures have been established as a durable option for treatment of patients with aortic root pathology. Complex cases where aortic valve-sparing root replacement (VSRR) is applied require specific surgical techniques to ensure good outcomes. Herein, we review main concepts of VSRR and aortic valve repair. In addition, we provide three complex clinical scenarios: treatment of neo-aortic dilation after a Ross procedure, acute aortic insufficiency in a type A dissection, and chronic aortic insufficiency with a bicuspid aortic valve. Technical suggestions to achieve a safe and durable result are set forth.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12055-023-01587-4.
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