Aortic root reconstruction in elderly patients
Ohtsubo, S.; Itoh, T.
Kyobu Geka. Japanese Journal of Thoracic Surgery 58(8 Suppl): 695-700
2005
ISSN/ISBN: 0021-5252 PMID: 16097620 Document Number: 594161
Operative indications for aortic root reconstruction generally include aortic root aneurysm, root destruction in acute dissection, extensive annular abscess in infective endocarditis, and small aortic annuls. In elderly patients, Bentall operation with bioprosthesis should be one of the standard operation because bioprosthesis in aortic position demonstrated excellent long-term valve durability. Freestyle aortic bioprosthesis has been increasingly implanted as a full root replacement in elderly patients with small aortic annuls and carcified aortic root. When aortic valve is nearly normal, valve-sparing aortic root replacement can be an ideal operation without need for prosthetic valve. Indication for valve-sparing operation should be considered when the patient is physically and socially active and does not carry significant comorbidity.