Management of the dissected aortic root in young patients: A propensity score-matched analysis of mechanical versus bioprosthetic aortic root replacement

There is no survival advantage of mech-Bentall in ATAAD in young patients at 10 years, and it is associated with a significantly higher rate of morbid complications. When the aortic valve cannot be spared, bio-Bentall should be considered in ATAAD, even in young patients.

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Publication Details

Journal
JTCVS Open
Published
2025-06-09
DOI
https://doi.org/10.1016/j.xjon.2025.05.009
Primary Topic
Aortic Disease and Treatment Approaches
Type
article
Field-Weighted Citation Impact
0.00
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article

Management of the dissected aortic root in young patients: A propensity score-matched analysis of mechanical versus bioprosthetic aortic root replacement

Nimesh D. Desai, Alexandra Sperry, John J. Kelly, Lauren Gillinov et al.
JTCVS Open
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Management of the dissected aortic root in young patients: A propensity score-matched analysis of mechanical versus bioprosthetic aortic root replacement

Nimesh D. Desai, Alexandra Sperry, John J. Kelly, Lauren Gillinov, Nicholas Goel, Omar Toubat, Kendall M. Lawrence, Michael A. Catalano, Chase R. Brown, Wilson Y. Szeto, Yu Zhao
article en

Abstract

There is no survival advantage of mech-Bentall in ATAAD in young patients at 10 years, and it is associated with a significantly higher rate of morbid complications. When the aortic valve cannot be spared, bio-Bentall should be considered in ATAAD, even in young patients.

JTCVS OpenVol. 26
University of Pennsylvania (US)
Zero hunger
Openalex Percentile: Top 78%
Aortic Disease and Treatment Approaches
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