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Updated: Jun 23, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Reoperation-Sparing Transcatheter Aortic Valve Replacement After Acute Failed Valve-Sparing Aortic Root Replacement
Isao Anzai1, Matthew Lawlor2, Rebecca Hahn2
1Division of Cardiac, Thoracic, and Vascular Surgery, Department of Surgery, New York-Presbyterian/Columbia University Irving Medical Center, New York, New York, USA.
Transcatheter aortic valve replacement (TAVR) can be safely performed for aortic insufficiency after valve-sparing aortic root replacement (VSARR). This complex procedure requires careful valve selection and positioning for optimal outcomes.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Transcatheter aortic valve replacement (TAVR) is typically not indicated for pure aortic insufficiency.
- Aortic insufficiency following valve-sparing aortic root replacement (VSARR) presents unique anatomical challenges for TAVR.
- Prior VSARR increases the complexity of performing TAVR due to altered aortic root anatomy.
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