{"id":2447,"date":"2022-07-25T23:06:10","date_gmt":"2022-07-25T23:06:10","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=2447"},"modified":"2026-02-15T14:34:45","modified_gmt":"2026-02-15T14:34:45","slug":"valve-sparing-aortic-root-replacement","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/valve-sparing-aortic-root-replacement\/","title":{"rendered":"Surgeon Roundtable: Valve-Sparing Aortic Root Replacement vs. Bentall Procedure"},"content":{"rendered":"<p>Over the past 10 years, we have seen an ongoing trend and favorable outcomes to complex procedures that &#8220;spare&#8221; the patient&#8217;s aortic valve. These procedures, including Valve-sparing Aortic Root Replacement, for patients with aortic valve disease and aortic aneurysms, often confuse patients compared to more traditional aortic valve replacement and Bentall procedures.<\/p>\n<p>To provide you the latest insights and advantages of aortic valve reconstruction therapies, we were lucky to coordinate a &#8220;Surgeon Roundtable&#8221; with <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Eric-Roselli-Cleveland-Ohio.php\">Dr. Eric Roselli<\/a>, the Chief of Adult Cardiac Surgery at Cleveland Clinic, and <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Marijan-Koprivanac-Cleveland-Ohio.php\">Dr. Marijan Koprivanac<\/a>, cardiac surgeon at Cleveland Clinic.\u00a0 Here are the highlights from this fantastic discussion:<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/sxBjv0cexhQ\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Learnings About Aortic Root Surgery<\/h2>\n<p>Here are important educational highlights down from this special interview with Drs. Roselli and Koprivanac:<\/p>\n<ul>\n<li>Aortic valve-sparing root replacement is an important procedure for addressing the dilation of aortic root aneurysms for select patients. As Dr. Koprivanac states, &#8220;We can replace the root, with saving the valve and basically restoring normal anatomy of the patient, allowing them to have very basically normal life durability of that valve, without having more interventions or having any anticoagulation down the line.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2453 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Valve-Sparing-Aortic-Root-Replacement-Advantages.jpg\" alt=\"Aortic Valve-Sparing Root Replacement Advantages\" width=\"700\" height=\"386\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>When patients have a good understanding of the unique function of the aortic valve within the aortic root, the patient advantages for keeping or &#8220;sparing&#8221; their own aortic valve is compelling. Dr. Roselli states, &#8220;The aortic valve isn&#8217;t just some moving part sitting at the top of your heart. It&#8217;s part and parcel of that first part of the aorta that we call the root. In order for the aortic valve to function well, there&#8217;s a whole bunch of different structures that are involved with it, what we call the annulus or the opening to the heart where the valve sits.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2455 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Aortic-Root-Anatomy-Diagram.jpg\" alt=\"Aortic Root Anatomy\" width=\"700\" height=\"390\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Unlike a Valve-Sparing Aortic Root Replacement, a <a href=\"https:\/\/www.heart-valve-surgery.com\/bentall-procedure.php\">Bentall Procedure<\/a> completely replaces the aortic valve and aortic aneurysm. For patients who undergo a Bentall Procedure and receive a tissue valve replacement, the durability of that valve is typically limited to 10-15 years. Patients undergo a Bentall Procedure and receive a mechanical valve replacement need to go on blood thinners for the rest of their lives.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2456 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Bentall-Procedure-Diagram.jpg\" alt=\"Bentall Procedure Diagram\" width=\"700\" height=\"391\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>According to Dr. Roselli, a key advantage of the Valve-Sparing Aortic Root Replacement is that patients get to keep their living aortic valve without a lifetime without anti-coagulation.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2454 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Valve-Sparing-Aortic-Root-Replacement-Candidates-Criteria.jpg\" alt=\"Valve Sparing Aortic Root Replacement Candidate &amp; Criteria\" width=\"700\" height=\"387\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Valve-Sparing Aortic Root Replacement operations, also known as &#8220;Reimplantantion&#8221; procedures, are typically reserved for a select group of patients.\u00a0 According to Dr. Koprivanac, the ideal patients are younger (&lt;65 years), have a preserved and functional aortic valve, isolated root dilation and\u00a0 minimal leaflet repair.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2457 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Cleveland-Clinic-Valve-Sparing-Aortic-Root-Replacement-Volume.jpg\" alt=\"Valve-Sparing Aortic Root Replacement Volume at Cleveland Clinic\" width=\"700\" height=\"393\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Cleveland Clinic has extensive experience with Valve-Sparing Aortic Root Replacement procedures.\u00a0 Dr. Roselli states, &#8220;We do over 1,000 thoracic aortic surgeries a year. I think it was 1,063 last year we showed at the annual report. A 122 of those were these valve reimplantation procedures. We&#8217;ve consistently been doing over a hundred a year. We can do them quickly and safely.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many Thanks to Dr. Roselli, Dr. Koprivanac &amp; Cleveland Clinic<\/h2>\n<p>On behalf of our patient community, many thanks to Dr. Roselli and Dr. Koprivanac for sharing their insights, research and experiences specific to aortic valve and aortic root surgery\u00a0 We also want to thank the entire Cleveland Clinic team for taking such great care of patients with heart valve disease.<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Eric-Roselli-Cleveland-Ohio.php\">See Dr. Eric Roselli\u2019s Interactive Surgeon Profile<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/bicuspid-aneurysm-modified-david-procedure.php\">Heart Surgery Innovations: Bicuspid Aortic Valve &amp; Aortic Aneurysms with Dr. Eric Roselli<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/hospital\/cleveland-clinic-microsite\">Explore the Cleveland Clinic Heart Valve Microsite<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the deaf and hard of hearing members of our community, I have provided a written transcript of this video below.<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[3],"class_list":["post-2447","page","type-page","status-publish","hentry","category-aneurysms"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2447","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=2447"}],"version-history":[{"count":15,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2447\/revisions"}],"predecessor-version":[{"id":6509,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2447\/revisions\/6509"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=2447"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=2447"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}