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Valve-Sparing Aortic Root Replacement to Treat Acute Type A Aortic Dissection

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Aortic Valve Preservation

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Abstract

The main forms of proximal operation to treat type A aortic dissection are (1) supracoronary aortic replacement, (2) aortic root replacement (ARR; Bentall procedure), (3) valve-sparing aortic root replacement (VSARR; David procedure, hereinafter referred to as reimplantation), and (4) VSARR (Yacoub procedure, hereinafter referred to as remodeling). If neither aortic root dilatation nor dissection in any of the sinuses of Valsalva is observed, and the patient does not suffer from aortic stenosis (AS) or regurgitation (AR), then supracoronary aortic replacement is considered to be the most appropriate form of surgery. In many cases, however, dissection has extended to the aortic root, and therefore, the surgical technique must be selected on the basis of the individual case.

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Authors and Affiliations

  1. Department of Cardiac Surgery, Asahikawa Medical University, Asahikawa, Hokkaido, Japan

    Hiroyuki Kamiya

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  1. Hiroyuki Kamiya
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Correspondence to Hiroyuki Kamiya .

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Editors and Affiliations

  1. Department of Cardiac Surgery, The Jikei University School of Medicine, Tokyo, Japan

    Takashi Kunihara

  2. Cardiovascular Surgery, Sakakibara Heart Institute, Fuchu, Tokyo, Japan

    Shuichiro Takanashi

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© 2019 Springer Nature Singapore Pte Ltd.

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Kamiya, H. (2019). Valve-Sparing Aortic Root Replacement to Treat Acute Type A Aortic Dissection. In: Kunihara, T., Takanashi, S. (eds) Aortic Valve Preservation. Springer, Singapore. https://doi.org/10.1007/978-981-13-2068-2_23

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  • DOI: https://doi.org/10.1007/978-981-13-2068-2_23

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2067-5

  • Online ISBN: 978-981-13-2068-2

  • eBook Packages: MedicineMedicine (R0)

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