Background
Aortic root and valve disease can present in young patients, who seek care at congenital heart centers Aortic root aneurysm can occur in patients with prior conotruncal defect surgery, the Ross procedure, and connective tissue diseases.1, 2 When left untreated, aortic root dilatation in these patients may lead to the development of aortic insufficiency, heart failure, dissection, rupture, and death.3 Due to the young age of these patient populations, congenital heart surgeons must be familiar with the management and repair of aortic root and valve disease.
Valve-sparing aortic root interventions are appealing to minimize future valve interventions and/or systemic anticoagulation. However, their outcomes are poorly defined due to the heterogeneity and complexity of this population. In this retrospective, single-center study, we describe the outcomes of three different VSRR procedures and determine the factors associated with the need for subsequent reintervention.