Aortic Root Aneurysms: Remodeling or Composite Replacement?

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Aortic Root Aneurysms: Remodeling or Composite Replacement? Tirone E. David, MD The Annals of Thoracic Surgery Volume 64, Issue 5, Pages 1564-1568 (November 1997) DOI: 10.1016/S0003-4975(97)01026-6 Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Remodeling of the sinotubular junction by replacement of the ascending aorta. (Reproduced with permission from David TE, Feindel CM, Bos J. Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm. J Thorac Cardiovasc Surg 1995;109:345–52.) The Annals of Thoracic Surgery 1997 64, 1564-1568DOI: (10.1016/S0003-4975(97)01026-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Remodeling of the aortic root with replacement of all three aortic sinuses. (Reproduced with permission from David TE. Remodeling the aortic root and preservation of the native aortic valve. Op Tech Cardiac Thorac Surg 1996;1:44–56.) The Annals of Thoracic Surgery 1997 64, 1564-1568DOI: (10.1016/S0003-4975(97)01026-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Aortic annuloplasty in patients with annuloaortic ectasia. (Reproduced with permission from David TE. Remodeling the aortic root and preservation of the native aortic valve. Op Tech Cardiac Thorac Surg 1996;1:44–56.) The Annals of Thoracic Surgery 1997 64, 1564-1568DOI: (10.1016/S0003-4975(97)01026-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Reimplantation of the aortic valve in patients with annu-loaortic ectasia and aortic root aneurysm. (Reproduced with permission from David TE, Feindel CM, Bos J. Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm. J Thorac Cardiovasc Surg 1995;109:345–52.) The Annals of Thoracic Surgery 1997 64, 1564-1568DOI: (10.1016/S0003-4975(97)01026-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Actuarial survival after aortic valve-sparing operations. The Annals of Thoracic Surgery 1997 64, 1564-1568DOI: (10.1016/S0003-4975(97)01026-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Freedom from aortic valve replacement. The Annals of Thoracic Surgery 1997 64, 1564-1568DOI: (10.1016/S0003-4975(97)01026-6) Copyright © 1997 The Society of Thoracic Surgeons Terms and Conditions