Malak El-Batarny, MD, Maral Ouzounian, MD, PhD, Tirone David, MD
Abstract
Abstract
Abstract
Aortic valve-sparing (AVS) operations were developed to treat aortic root aneurysms while preserving the native aortic valve and have become established alternatives to composite valve graft procedures for patients with favorable cusp morphology. The theoretical benefits of AVS procedures include avoiding the complications associated with prosthetic valves, specifically, the risks of systemic thromboembolism and lifelong anticoagulation associated with mechanical valves, or the risks of structural valve deterioration and need for reoperation associated with bioprosthetic valves.
Although valve-sparing root replacement techniques have been available for more than 30 years,[1],[2] the proportion of AVS operations among patients undergoing root replacement in the United States has remained at approximately 15% and is not increasing.[3] Reluctance to perform AVS may be due in part to concerns regarding the durability of these procedures and the lack of comparative data regarding the long-term safety and effectiveness of AVS compared with traditional Bentall procedures.
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Last updated: May 31, 2023
Citation
El-Batarny, Malak, et al. "Valve-Sparing Aortic Root Surgery." Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book, Chicago: Society of Thoracic Surgeons, 2023. STS Surgery, ebook.sts.org.
El-Batarny M, Ouzounian M, David T. Valve-Sparing Aortic Root Surgery. In: Baumgartner WA, Jacobs JP, Darling GE, eds. Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. ebook.sts.org. Accessed September 23, 2023.
El-Batarny, M., Ouzounian, M., & David, T. (2023). Valve-Sparing Aortic Root Surgery. In Baumgartner, W., Jacobs, J., & Darling, G. (Eds.), Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons. ebook.sts.org
El-Batarny M, Ouzounian M, David T. Valve-Sparing Aortic Root Surgery [Internet]. In: Baumgartner WA, Jacobs JP, Darling GE, editors. Adult and Pediatric Cardiac Surgery. STS Cardiothoracic Surgery E-Book. Chicago: Society of Thoracic Surgeons; 2023. [cited 2023 September 23]. Available from: ebook.sts.org.
TY - ELEC
T1 - Valve-Sparing Aortic Root Surgery
ID - 1864001
A1 - El-Batarny,Malak,MD
ED - Baumgartner,William,
ED - Jacobs,J,
ED - Darling,Gail,
Y1 - 2023/05/31/
BT - Adult Cardiac
UR - https://ebook.sts.org/sts/view/Cardiac-and-Congenital/1864001/all/Valve_Sparing_Aortic_Root_Surgery
PB - Chicago: Society of Thoracic Surgeons
DB - STS Surgery
DP - Unbound Medicine
ER -