Age-Dependent Outcomes of Reductive Ascending Aortoplasty

: RAA with AVR offers favorable long-term durability, but success is highly age-dependent. The procedure is a safe, effective tissue-preserving strategy for selected older patients (≥70 years), particularly those with TAV. However, high redilatation rates in BAV patients suggest that RAA should be avoided in this population, reinforcing graft replacement as preferred for younger patients.

Authors

Strahinja Mrvić
Anđela Božić
Jovan Rajić
Mirko Todić (ORCID: https://orcid.org/0000-0002-2537-2172)
Ilija Bjeljac
Kristina Jonjev
Živojin S. Jonjev
Aleksandar M. Milosavljević

Institutions

University of Novi Sad (RS)
University of Banja Luka (BA)
Institute for Cardiovascular Diseases of Vojvodina (RS)

Publication Details

Journal: Medicina
Published: 2026-04-01
DOI: https://doi.org/10.3390/medicina62040672
Primary Topic: Aortic Disease and Treatment Approaches
Type: article
Field-Weighted Citation Impact: 0.00

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article

Age-Dependent Outcomes of Reductive Ascending Aortoplasty

Strahinja Mrvić, Anđela Božić, Jovan Rajić, Mirko Todić et al.

Apr 1, 2026

Medicina

Aortic Disease and Treatment Approaches

article

Age-Dependent Outcomes of Reductive Ascending Aortoplasty

Strahinja Mrvić, Anđela Božić, Jovan Rajić, Mirko Todić, Ilija Bjeljac, Kristina Jonjev, Živojin S. Jonjev, Aleksandar M. Milosavljević

April 1, 2026article en

Abstract

: RAA with AVR offers favorable long-term durability, but success is highly age-dependent. The procedure is a safe, effective tissue-preserving strategy for selected older patients (≥70 years), particularly those with TAV. However, high redilatation rates in BAV patients suggest that RAA should be avoided in this population, reinforcing graft replacement as preferred for younger patients.

MedicinaVol. 62(4)

University of Novi Sad (RS), University of Banja Luka (BA), Institute for Cardiovascular Diseases of Vojvodina (RS)

Openalex Percentile: Top 34%

Aortic Disease and Treatment Approaches

DOI Open Access PDF OpenAlex

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