Mayo Clinic surgeons have experience performing aortic root surgery, a complex surgical procedure.
Mayo cardiac surgeons perform several types of aortic root surgery, including:
Aortic root replacement. In aortic root replacement, your surgeon removes a section of your aorta and your aortic valve. The section of your aorta is replaced with an artificial tube (graft), and your aortic valve is replaced with a mechanical or biological valve.
If you have a mechanical valve, you'll need to take anticoagulant medications for life to prevent blood clots.
- Valve-sparing aortic root repair. In this procedure, your surgeon replaces the enlarged section of your aorta with an artificial tube (graft). Your aortic valve remains in place. In one technique, your surgeon sutures the valve inside of the graft. Alternatively, your surgeon may attach the graft to a section of the aorta above the aortic valve. Several surgical techniques exist for valve-sparing aortic root repair.
If you have certain other heart conditions, your surgeon may perform additional procedures to treat these conditions at the same time as aortic root surgery.
Your doctor will discuss with you the most appropriate treatment or surgery for your individual condition and discuss the benefits and risks of surgery. Your doctor will evaluate your risk of aortic dissection and measure the diameter of your aorta when deciding if you are a candidate for surgery.
March 07, 2017
- What is Marfan syndrome? National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/health-topics/topics/mar/. Accessed July 15, 2014.
- Management of Marfan syndrome and related disorders. http://www.uptodate.com/home. Accessed Aug. 15, 2014.
- Cook AJ. Decision Support System. Mayo Clinic, Rochester, Minn. June 24, 2014.
- Stamou SC, et al. Aortic root surgery in the United States: A report from the Society of Thoracic Surgeons database. The Journal of Thoracic and Cardiovascular Surgery. In press. Accessed Aug. 18, 2014.
- Treasure T, et al. Surgical management of aortic root disease in Marfan syndrome and other congenital disorders associated with aortic root aneurysms. Heart. 2014;100:1571.
- Shimizu H, et al. Valve-sparing aortic root replacement. Annals of Thoracic and Cardiovascular Surgery. 2011;17:330.