Results
Long-term survival after VSRR is excellent with only one death related
to cardiac causes. Valve degeneration remains a concern with 13 patients
(26%) requiring subsequent aortic valve replacement over the study
period. Risk factors for aortic valve reintervention were the aortic
root remodeling technique, mild or greater immediate post-operative
aortic insufficiency and higher post-operative mitral insufficiency.
Follow-up was significantly longer in Group 1 patients compared to
Groups 2 and 3.