Research Article

Valve-Sparing Aortic Root Replacement Technique: Valsalva Graft versus Two Straight Tubular Grafts

Table 2

Operative data.

VariableValsalva (n = 270)Two-graft (n = 62) value

Primary indication0.02
 Root aneurysm220 (81)42 (68)
 Acute type A aortic dissection50 (19)20 (32)
Timing of operation0.12
 Elective210 (78)41 (66)0.05
 Urgent19 (7.0)5 (8.1)0.79
 Emergent/salvage41 (15)16 (26)0.05
Concomitant procedure
 CABG12 (4.5)2 (3.2)0.66
 Mitral valve surgery15 (5.6)4 (6.5)0.76
 Tricuspid valve surgery4 (1.5)2 (3.2)0.31
 Aortic valve repair41 (15)3 (4.8)0.03
 Ascending aorta procedure233 (86)49 (79)0.15
 Hemiarch replacement60 (22)8 (13)0.10
 Total arch replacement4 (1.5)2 (3.2)0.31
 Zone 1 replacement3 (1.1)7 (11)<0.001
 Zone 2 replacement4 (1.5)6 (9.7)0.004
 Zone 3 replacement2 (0.7)2 (3.2)0.16
CPB time255 (233, 284)284 (265, 346)<0.001
Cross-clamp time215 (195, 238)245 (228, 278)<0.001
PRBC (units)0.0 (0.0, 2.0)0.0 (0.0, 1.0)0.16
Size of implant
 Valsalva graft (mm)30 (30, 32)
 Large graft (mm)34 (34, 34)
 Plication of large graft (mm)29 (29, 30)
 Small graft (mm)24 (24, 26)

Data presented as median (interquartile range) for continuous variables and number (percentage) for categorical variables. Abbreviations: CABG, coronary artery bypass grafting; CPB, cardiopulmonary bypass; PRBC, packed red blood cells.