Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Mitral Stenosis IV: Nursing Management01:27

Mitral Stenosis IV: Nursing Management

49
A comprehensive nursing assessment is essential for patients with valvular heart disease, which involves any dysfunction of the heart valves that could impact blood flow and overall heart function.Subjective Data Collection:Chief Complaint and Present Illness: Start with the patient's primary concerns, focusing on the onset, duration, and progression of cardiac symptoms such as dyspnea, fatigue, chest pain, and palpitations.Past Medical History: Collect detailed information on any previous...
49
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

51
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
51
Mitral Stenosis III: Medical Management01:26

Mitral Stenosis III: Medical Management

28
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
28

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same authorSame journal

Postmyocardial infarction ventricular septal defect outcomes: Partial versus full presurgical hemodynamic support.

JTCVS open·2026
Same author

Impact of aortic root surgery during transcatheter aortic valve explant.

JTCVS structural and endovascular·2026
Same author

Iliac artery involvement determines optimal therapy in acute uncomplicated type B aortic dissection.

JTCVS structural and endovascular·2026
Same author

Endovascular arch repair using a novel single branch arch stent graft: 30-Day results from the chronic dissection arm of the NEXUS Aortic Arch Clinical Study to Evaluate Safety and Effectiveness investigational device exemption study.

JTCVS structural and endovascular·2026
Same author

Don't let patient-prosthesis mismatch cramp your style: Stentless root replacement for the small aortic annulus.

JTCVS structural and endovascular·2026
Same author

Reply: VSRR-Not better operation or patient selection, but better operation in selected patients.

The Journal of thoracic and cardiovascular surgery·2026
Same journal

Hypoxemia after thoracic aortic aneurysm repair.

JTCVS open·2026
Same journal

The uptake of segmentectomy for non-small cell lung cancer in adopters of robotic surgery.

JTCVS open·2026
Same journal

Artificial intelligence-based algorithm for predicting outcomes in early-stage lung cancer: An annotation-free imaging artificial intelligence study.

JTCVS open·2026
Same journal

Preoperative daily step count and cognitive performance following cardiac surgery.

JTCVS open·2026
Same journal

Authorship asymmetry at the Women in Thoracic Surgery Inaugural Annual Conference: Gender pairings and senior status disparity.

JTCVS open·2026
See all related articles

Related Experiment Video

Updated: Sep 16, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.2K

Valve-sparing root replacement: How old is too old?

Elizabeth L Norton1, Yanhua Wang2, Parth M Patel1

  • 1Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Ga.

JTCVS Open
|July 9, 2025
PubMed
Summary
This summary is machine-generated.

Valve-sparing root replacement (VSRR) shows good outcomes, but older patients (65+) face higher mortality. Age 65+ is a risk factor for late death, though reoperation rates remain similar. Careful consideration is advised for elderly patients.

Keywords:
aortaaortic root replacementvalve-sparing aortic root replacement

More Related Videos

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.5K
A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position
11:20

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

Published on: April 1, 2022

3.2K

Related Experiment Videos

Last Updated: Sep 16, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

14.2K
Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
12:17

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

11.5K
A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position
11:20

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position

Published on: April 1, 2022

3.2K

Area of Science:

  • Cardiovascular Surgery
  • Aortic Root Surgery
  • Geriatric Cardiology

Background:

  • Valve-sparing root replacement (VSRR) offers excellent short- and long-term results.
  • While often performed in younger patients, VSRR is utilized across a broad age spectrum, including individuals in their seventies.
  • The impact of age and comorbidities on VSRR outcomes requires further investigation.

Purpose of the Study:

  • To analyze the influence of age and preoperative comorbidities on operative outcomes following VSRR.
  • To assess the impact of age on reoperation rates and survival after VSRR.
  • To determine an optimal age cutoff for VSRR based on long-term survival data.

Main Methods:

  • A retrospective analysis of 780 patients who underwent VSRR between 2004 and 2021.
  • VSRR was performed using the David V reimplantation technique.
  • Patients were stratified into two groups based on an age cutoff of 65 years, determined using Contal and O'Quigley methods.

Main Results:

  • An age cutoff of 65 years was identified as optimal; 16% of patients were ≥65 years.
  • In-hospital mortality was higher in patients aged ≥65 years (4.1% vs. 1.1%, P=.03).
  • Ten-year survival was significantly worse for patients aged ≥65 years (76% vs. 92%, P<.0001), with age ≥65 being an independent risk factor for late mortality.

Conclusions:

  • VSRR can be performed with low operative mortality and excellent freedom from reoperation across age groups.
  • Patients aged 65 years and older undergoing VSRR require careful consideration, particularly in cases of aortic dissection.
  • Age ≥65 years is an independent risk factor for late mortality following VSRR.