Why Repair
Aortic Insufficiency?
Growing Evidence for Aortic Valve
Repair vs. Replacement
Why Repair
Aortic Insufficiency?
Growing Evidence for Aortic Valve
Repair vs. Replacement
Improved Survival
at 8 years (1, 2)
Reduced Adverse Events
at 10 years (3)
See The Growing Evidence for
Aortic Valve Repair
Improved Survival
at 8 years (1, 2)
Reduced Adverse Events
at 10 years (3)
See The Growing Evidence for
Aortic Valve Repair
Propensity Match Studies
Studies highlight improved survival and lower cardiac event rates with aortic valve repair vs. valve replacement for Aortic Insufficiency
Improved Survival at 8 years
100% vs. 88.9% (p=0.025)
Similar reoperation rates, no signifcant difference
9.1 % vs. 3.3% (p=0.97)
Northwestern University
1) Malaisrie SC, et al. Valve-sparing versus valve-replacing aortic root
replacement in patients with aortic root aneurysm. J Card Surg. 2022 Apr 5.
Improved Survival at 8 years
87% vs. 60% (p=0.007)
Similar reoperation rates, no signifcant difference
8% vs. 2% (log rank P=0.35)
Universite Catholique de Louvain, Belgium
2) de Meester C, et al. Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: a propensity score analysis.
J ThoracCardiovasc 5urg. 2014 Nov;l 48(5):1913-20.
Greater Event-free
Survival at 10 years
82% vs. 68% (p=0.024)
Similar reopareation rates, no significant difference
7% vs. 3% (p=0.44)
University of Ottawa Heart Institute
3) Jabagi H, et al. Aortic Valve Repair Decreases Risks ofVRE in Al at 10 Years: A Propensity Score-Matched Analysis. Ann ThoracSurg. 2021 Jul 3:50003-4975(21 )01165-6.
Organizations Contributing to the Aortic Valve Repair Experiences
AHA/ACC Guidelines
Repair is Required at “Level I” Centers
Requirement for Level 1 Comprehensive Valve Centers
The 2020 ACC/AHA Guidlines for Valvular Heart Disease reinforce the role of aortic valve repair in Comprehensive (Level 1) Valve Centers and outline the or many indications for repair.
Chronic Severe AR: Isolated or with concomitant procedures
Moderate AR: with concomitant procedures
Aneurysm: Root and Ascending Aortic Aneurysm
Bicuspid Aortic Valve Disease with AR
EU Guidelines
Recognizing Benefits of Repair
Highlight good long-term results and lower valve related events with Aortic Valve Repair
The 2021 ESC/EACTS Guidelines for Aortic Regurgitation recognize the benefits for aortic valve repair vs. replacement. The guidelines recognize the results of expert centers and surgeons with aortic valve repair experience.
Valve-sparing procedures have a Class I recommendation for young patients with aortic root dilatation, when performed in experienced centers.
Survival Rate, Cardiac Event Rate and
Repair Failure Rate
Improved Survival at 8 years
Improved Survival at 8 years
