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Straightforward Contemporary Step-by-Step Approach to Aortic Root Replacement With Valve-Sparing Tricuspid Aortic Valve Repair

  • Ourania Preventza
    Correspondence
    Address reprint requests to Ourania Preventza, Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas, USA.
    Affiliations
    Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.

    Texas Heart Institute, Houston, TX.

    Department of Cardiovascular Surgery, CHI St Luke's Health—Baylor St Luke's Medical Center, Houston, TX.
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  • Alice Le Huu
    Affiliations
    Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.
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  • Joseph S. Coselli
    Affiliations
    Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.

    Texas Heart Institute, Houston, TX.

    Department of Cardiovascular Surgery, CHI St Luke's Health—Baylor St Luke's Medical Center, Houston, TX.

    Cardiovascular Research Institute, Baylor College of Medicine, Houston, TX
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      Valve-sparing aortic root replacement (VSARR) has become an appealing choice for replacing an aneurysmal root when the patient's anatomic characteristics are favorable, especially in patients with heritable thoracic aortic disease. It is a technically challenging procedure, and the learning curve is considerable. This approach's chief advantages are that the patient's own aortic valve apparatus is preserved, the repair (in expert hands) is durable, and it avoids the need for lifelong anticoagulation associated with the mechanical valves in the aortic root prostheses. In this report, we provide a step-by-step approach for aortic root replacement in patients with a tricuspid aortic valve suitable for VSARR.

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