Valve-Sparing Aortic Root Replacement State of the Art Review Part I: Anatomy and Physiology

Aortic valve disease is common and valve-preserving operations are preferred whenever possible. Valve-sparing aortic root replacement (VSRR) has become an important tool for managing aortic root pathology in children and adults. The learning curve for this operation is challenging but with increasing experience and technical modifications, early and late outcomes continue to improve. Durable long term results vary based on underlying anatomy, pathology, and patient selection, and surgeon expertise. The first installment of this VSRR State of the Art Review article addresses patient anatomy and physiology as it relates to candidacy for VSRR.