Hassan K.  Reda,Max  Shrout,Sibu P. Saha,
Aortic Root Surgery: A single center experience
Journal of Integrative Cardiology Open Access
2018
2674-2489
http://dx.doi.org/10.31487/j.JICOA.2018.01.003
https://www.sciencerepository.org/aortic-root-surgery-a-single-center-experience_JICOA-1-103 
Abstract: Background
Aortic root surgery varies widely in techniques and from institution to institution. Success requires precision
and superb post-operative care. The purpose of this study was to evaluate the indications and outcomes of
this procedure at a single small volume academic medical center.
Methods
The study was carried out with IRB approval, consisting of 99 patients undergoing aortic root surgery from
January 2013 to June 2015. 45 underwent procedures for aneurysm, 11 for infective native valve
endocarditis, 16 for prosthetic valve endocarditis, 21 for aortic root dissection, and 14 for other etiologies.
The procedures were performed using homograft (10), composite (8), or biologic (81) valves. 28 of the
operations included a second procedure, and 39 of the operations were redo procedures.
Results
Complications analyzed included operative death (8.9%), stroke (10%), surgical site infection (1.1%), and
cardiac arrest (6.5%). Mortality rates were: aneurysm 2.2%, infective endocarditis 7.4%, dissection 19%,
and other etiologies 7.1%.
Conclusions
In comparing our institution to others, we found that complications were on average within the range of
published studies.Keywords: Aortic root replacement, endocarditis, aortic root replacement outcomes