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.