Related Experiment Video
Updated: May 11, 2026
12:17
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
11.2K
Aortic valve-sparing operation at concomitant aortic root and total aortic arch replacement.
Yu Hohri1, Kavya Rajesh1, Megan M Chung1
1Division of Cardiothoracic and Vascular Surgery, New York Presbyterian Hospital, Columbia University Irving Medical Center, 177 Fort Washington Ave, New York, NY, 10019, USA.
General Thoracic and Cardiovascular Surgery
|April 23, 2025
Summary
Sparing the aortic valve during combined aortic root and total arch replacement is safe. Long-term outcomes for valve-sparing aortic root replacement (VSRR) were similar to composite valve graft (CVG) procedures.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Surgery
Background:
- Combined aortic root replacement (ARR) and total aortic arch replacement (TAR) procedures are complex.
- The safety and long-term outcomes of aortic valve-sparing techniques in these combined procedures are not well-established.
Purpose of the Study:
- To evaluate the safety and long-term outcomes of aortic valve-sparing operations during combined ARR and TAR.
- To compare valve-sparing aortic root replacement (VSRR) with composite valve graft (CVG) root replacement in this patient cohort.
Main Methods:
- Retrospective analysis of 81 patients undergoing ARR and TAR between 2004 and 2021.
- Patients were divided into VSRR (n=34) and CVG (n=47) groups.
- Primary endpoint: uneventful recovery (no mortality or postoperative complications); Secondary endpoints: 12-year survival and reintervention rates.
Main Results:
- VSRR was more common in younger patients with connective tissue disorders and less than moderate aortic insufficiency.
- VSRR had longer cross-clamp times but showed no significant difference in in-hospital mortality or uneventful recovery rates compared to CVG.
- Multivariable analysis indicated VSRR was not associated with uneventful recovery.
- Twelve-year survival and reintervention rates were similar between VSRR and CVG groups.
Conclusions:
- Aortic valve-sparing operations can be safely performed in carefully selected patients undergoing combined ARR and TAR.
- The long-term safety and efficacy of VSRR are comparable to CVG in this complex surgical setting.
Keywords:
Aortic root replacementComposite valve graft root replacementTotal aortic arch replacementValve-sparing aortic root replacementMore Related Videos
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