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Bicuspid Aortic Insufficiency With Aortic Root Aneurysm: Root Reimplantation Versus Bentall Root Replacement  Prashanth Vallabhajosyula, MD, Wilson Y.

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Presentation on theme: "Bicuspid Aortic Insufficiency With Aortic Root Aneurysm: Root Reimplantation Versus Bentall Root Replacement  Prashanth Vallabhajosyula, MD, Wilson Y."— Presentation transcript:

1 Bicuspid Aortic Insufficiency With Aortic Root Aneurysm: Root Reimplantation Versus Bentall Root Replacement  Prashanth Vallabhajosyula, MD, Wilson Y. Szeto, MD, Andreas Habertheuer, MD, Caroline Komlo, BS, Rita K. Milewski, MD, PhD, Fenton McCarthy, MD, Nimesh D. Desai, MD, PhD, Joseph E. Bavaria, MD  The Annals of Thoracic Surgery  Volume 102, Issue 4, Pages (October 2016) DOI: /j.athoracsur Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Institutional experience with bicuspid aortic valve (BAV) root procedures is shown. The two comparison groups are shown in boxes. (AI = aortic insufficiency; AS = aortic stenosis; VSRR = valve-sparing root reimplantation.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Valve and conduit sizes in Bentall (A) and valve-sparing root reimplantation (B) groups are shown. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Left ventricular remodeling in Bentall (blue lines) and valve-sparing root reimplantation (VSRR; red lines) groups for preoperative and 2-year follow-up is shown as left ventricular ejection fraction (A) and left ventricular end-diastolic dimension (LVEDD; B). The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Neurologic events in Bentall and valve-sparing root reimplantation (VSRR) groups during follow-up are shown. (TIA = transient ischemic attack.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Actuarial curves comparing Bentall (red lines) versus valve-sparing root reimplantation (VSRR; blue lines) groups are shown for freedom from mortality (A), freedom from aortic reoperation (B), and freedom from aortic insufficiency (AI) greater than 2+ (C). (BAV = bicuspid aortic valve.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

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