The Annals of thoracic surgery
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This study determined the midterm outcome of valve-sparing aortic root replacement for patients with inherited connective tissue disorders. ⋯ Meticulous control of aortic insufficiency during operation would bring favorable midterm durability in valve-sparing aortic root replacement using a reimplantation technique, even in patients with inherited connective tissue disorders.
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In this article we illustrate our experience with the destruction of a transapically implanted aortic valve prosthesis due to postoperative cardiopulmonary resuscitation. The fact of the existing risk of the valve damage by chest compression during cardiopulmonary resuscitation should be taken into consideration when discussing the potential exposure of this technology to lower the risk for patients. Furthermore, we introduce a technique of less invasive cardiopulmonary resuscitation that offers the possibility of lowering the risk of compressing the valve.