BACKGROUND: Introduced by DePaulis in 2000, the Gelweave Valsalva graft (Sulzer Vascutek, Refrewshire, Scotland) is a modified Dacron conduit (DuPont, Wilmington, DE), with prefashioned sinuses of Valsalva. The aim of this study was to evaluate the mid-term results of the reimplantation valve-sparing aortic root replacement using the Gelweave Valsalva prosthesis in @entity1614 @entity1 . METHODS: A retrospective review was performed of 35 @entity1 with @entity1614 in four centers who underwent the reimplantation valve-sparing aortic root replacement using the Gelweave Valsalva prosthesis. RESULTS: The @entity1 were predominantly @entity1 , with a mean age of 36.5 +/- 12.6 years (range, 14 to 62 years). Two @entity1 presented with acute type A dissections and underwent emergent operations. Elective hemiarch reconstruction using hypothermic circulatory arrest was required in 11 @entity1 . Aortic valve cusp repair was performed in 2 @entity1 . There were no operative or hospital deaths, and no @entity1 died during follow-up. The mean follow-up was 19 months (range, 1 to 60 months). Significant (>2+) @entity337 ( @entity337 ), requiring aortic valve replacement, developed in 3 @entity1 during follow-up that requiring aortic valve replacement. The 5-year freedom from reoperation owing to structural @entity340 was 88.9% +/- 8.1%. There were no episodes of clinically significant @entity1031 . CONCLUSIONS: Reimplantation valve-sparing aortic root replacement with the Gelweave Valsalva prosthesis in @entity1614 @entity1 provides satisfactory mid-term results, thus encouraging further use of this type of repair. However, long-term results are needed in order to define the durability of this technique.

Reimplantation valve-sparing aortic root replacement in XXXX using the Valsalva conduit: an intercontinental multicenter study.

@entity1 :: ('9606', 'Species') :: ['patients', 'men'] @entity1614 :: ('MESH:D008382', 'Disease') :: ['Marfan', 'Marfan syndrome'] @entity1031 :: ('MESH:D013923', 'Disease') :: ['thromboembolism'] @entity337 :: ('MESH:D001022', 'Disease') :: ['AI', 'aortic insufficiency'] @entity340 :: ('MESH:D006349', 'Disease') :: ['valve deterioration']
@entity1614 :: (MESH:D008382,Disease) :: ['Marfan syndrome']
