Commentary: Is Simpler Better?

  • Bo Yang
    Address reprint requests to: Bo Yang, MD, PhD, Department of Cardiac Surgery, Michigan Medicine,1500 East Medical Center Drive, 5155 Frankel Cardiovascular Center, Ann Abor, MI, 48109.
    Department of Cardiac Surgery, Michigan Medicine, Ann Arbor, Michigan
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      External ring with cusp repair is a promising technique for aortic insufficiency, but larger study, and long-term results are needed.
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        • Mastrobuoni S.
        • de Kerchove L.
        • Navarra E.
        • et al.
        Long-term experience with valve-sparing reimplantation technique for the treatment of aortic aneurysm and aortic regurgitation.
        J Thorac Cardiovasc Surg. 2019; 158: 14-23
        • Lansac E.
        • Di Centa I.
        • Sleilaty G.
        • et al.
        Long-term results of external aortic ring annuloplasty for aortic valve repair.
        Eur J Cardiothorac Surg. 2016; 50: 350-360
        • Aicher D.
        • Schneider U.
        • Schmied W.
        • et al.
        Early results with annular support in reconstruction of the bicuspid aortic valve.
        J Thorac Cardiovasc Surg. 2013; 145: S30-S34
        • Chirichilli I.
        • Irace F.G.
        • Salica A.
        • et al.
        Root reimplantation and aortic annuloplasty with external ring in bicuspid aortic valve: an anatomical comparison.
        Semin Thorac Cardiovasc Surg. 2022; 34: 844-851

      Linked Article

      • Root Reimplantation and Aortic Annuloplasty With External Ring in Bicuspid Aortic Valve: An Anatomical Comparison
        Seminars in Thoracic and Cardiovascular SurgeryVol. 34Issue 3
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          Aortic annuloplasty has demonstrated to be a protective factor in valve-sparing root replacement and aortic valve repair. Both reimplantation for aortic root aneurysms and external ring annuloplasty for isolated aortic regurgitation have demonstrated good long-term results. The aim of this anatomical study is to compare aortic reimplantation with Valsalva graft with aortic external ring annuloplasty in bicuspid aortic valves, analyzing their morphological features with CT scan. We selected 56 patients with bicuspid aortic valve who underwent reimplantation procedure with Valsalva graft or external ring annuloplasty; after propensity-matching, 2 homogeneous groups of 10 patients each were obtained.
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