What question did this study set out to answer?

This research compares long-term outcomes of valve-sparing aortic root replacement techniques, focusing on safety and mortality.

April 15, 2026Open Access

Valve-Sparing Aortic Root Replacement: comparison of Long-Term Outcomes between the David and Yacoub Procedure in Denmark

Key Result

Valve-sparing aortic root replacement using David or Yacoub procedures had comparable long-term outcomes and lower risk of all-cause death and stroke compared to elective composite root replacement.

Key Points

This research compares long-term outcomes of valve-sparing aortic root replacement techniques, focusing on safety and mortality.
Comparison of long-term outcomes between the David and Yacoub procedures
Analysis of elective valve-sparing aortic root replacements
Focused on elective cases only conducted in Denmark
Long-term outcomes of both procedures were found to be comparable
Valve-sparing aortic root replacement associated with lower all-cause death rates
Reduced stroke risk observed compared to conventional replacement methods

Structured PICO

Does elective VSARR reduce all-cause death and stroke compared to elective CRR?

Population

Patients undergoing elective aortic root replacement in Denmark

Intervention

Elective Valve-Sparing Aortic Root Replacement (VSARR) using the David or Yacoub procedure

Comparator

Elective Composite Root Replacement (CRR)

Outcome

All-cause death and strokehard clinical

Elective valve-sparing aortic root replacement (David or Yacoub) offers durable long-term outcomes with lower risks of death and stroke compared to composite root replacement.

Abstract

Long-term outcomes following elective VSARR using the David and Yacoub procedure were comparable. VSARR was associated with lower risk of all-cause death and stroke compared to elective CRR, supporting VSARR as durable options when performed in experienced centers with careful patient-selection, even in low-volume settings.

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Discussion

Authors

Emil Johannes Ravn

L Krasniqi

Poul Erik Mortensen

Journals

Interdisciplinary CardioVascular and Thoracic Surgery

Actions

Institutions

Mayo Clinic

Aarhus University

Aarhus University Hospital

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

Valve-Sparing Aortic Root Replacement: comparison of Long-Term Outcomes between the David and Yacoub Procedure in Denmark

Key Result

Key Points

Structured PICO

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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