Are Early Outcomes of Reoperative Aortic Root Surgery Impacted by Previous Root Procedure and Indication for Reintervention?

In a large cohort of 632 patients who underwent “true redo root" surgery (reoperative aortic root surgery after a previous aortic root procedure), the indications for endocarditis and the presence of a previous prosthetic aortic root graft increased the complexity of the procedure and the perioperative course; however, it did not impact the operative mortality. Total time on cardiopulmonary bypass (CPB) and the necessity for ECMO insertion post-pump were identified as independent risk factors for operative mortality. True redo root procedures can be technically demanding and require thorough preoperative assessment, careful planning, and meticulous technique for optimal outcomes. The published report includes a case video presentation to highlight the technical aspects of true redo aortic root procedure.