Valve-sparing aortic root replacement state of the art review part I: Anatomy and physiology

Authors

Elizabeth H. Stephens, Mayo Clinic, Rochester, Minnesota.
Joseph A. Dearani, Mayo Clinic, Rochester, Minnesota. Electronic address: jdearani@mayo.edu.
Alberto Pochettino, Mayo Clinic, Rochester, Minnesota.
Luca A. Vricella, Advocate Health - MidwestFollow
Thoralf M. Sundt, Massachusetts General Hospital, Boston, Massachusetts.
Tirone E. David, University of Toronto, Toronto, Canada.
Joseph E. Bavaria, University of Pennsylvania, Philadelphia, Pennsylvania.
Duke E. Cameron, Massachusetts General Hospital, Boston, Massachusetts.

Recommended Citation

Stephens EH, Dearani JA, Pochettino A, et al. Valve-Sparing Aortic Root Replacement State of the Art Review Part I: Anatomy and Physiology. Ann Thorac Surg. Published online February 13, 2024. doi:10.1016/j.athoracsur.2023.12.018

Affiliations

Advocate Children's Heart Institute, Chicago

Abstract

Aortic valve disease is common and valve-preserving operations are preferred whenever possible. Valve-sparing aortic root replacement (VSRR) has become an important tool for managing aortic root pathology in children and adults. The learning curve for this operation is challenging but with increasing experience and technical modifications, early and late outcomes continue to improve. Durable long term results vary based on underlying anatomy, pathology, and patient selection, and surgeon expertise. The first installment of this VSRR State of the Art Review article addresses patient anatomy and physiology as it relates to candidacy for VSRR.

Type

Article

PubMed ID

38360340