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Is Valve-Sparing Root Replacement a Safe Option in Acute Type A Aortic Dissection? A Systematic Review and Meta-Analysis
In this systemic review and meta-analysis, the authors compared outcomes of valve-sparing root replacement vs. the Bentall procedure in patients with acute aortic dissection type A. Valve-sparing root replacement was associated with lower risk of early and late mortality compared with the Bentall procedure. However, there was an increased risk of reintervention after valve-sparing root replacement. The authors concluded that valve-sparing root replacement can be performed safely in experienced centers and should be performed especially in young active patients.