David TE, Feindel CM. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta. J Thorac Cardiovasc Surg. 1992;103:617–22.

Article  CAS  PubMed  Google Scholar 

Sarsam MA, Yacoub M. Remodeling of the aortic anulus. J Thorac Cardiovasc Surg. 1993;105:435–8.

Article  CAS  PubMed  Google Scholar 

Yamamoto T, Takahashi A, Yoshizumi T, Ishihara S, Inomata M, Imoto S, et al. 2023 National clinical database annual report by the japan surgical society. Surg Today. 2025;55:295–334.

Article  PubMed  PubMed Central  Google Scholar 

Itoh T, Ohtsubo S, Furukawa K, Norita H. Aortic root endoscopy in valve-sparing operations. J Thorac Cardiovasc Surg. 1997;114:141–2.

Article  CAS  PubMed  Google Scholar 

Ohtsubo S, Itoh T, Natsuaki M, Furukawa K, Yoshikai M, Suda H, et al. Successful valve-sparing in aortic root reconstruction under endoscopic guidance. Eur J Cardiothorac Surg. 2000;17:420–5.

Article  CAS  PubMed  Google Scholar 

Furukawa K, Ohteki H, Cao ZL, Narita Y, Okazaki Y, Ohtsubo S, et al. Evaluation of native valve-sparing aortic root reconstruction with direct imaging—reimplantation or remodeling? Ann Thorac Surg. 2004;77:1636–41.

Article  PubMed  Google Scholar 

de Oliveira NC, David TE, Ivanov J, Armstrong S, Eriksson MJ, Rakowski H, et al. Results of surgery for aortic root aneurysm in patients with Marfan syndrome. J Thorac Cardiovasc Surg. 2003;125:789–96.

Article  PubMed  Google Scholar 

Ehrlich T, Abeln KB, Burgard C, Froede L, Schulze-Berge L, Morgenthaler L, et al. Twenty-five years of root remodeling for root aneurysm and tricuspid aortic valve. Eur J Cardiothorac Surg 2023; 63(6): ezad 137.

Kunihara T, Arimura S, Sata F, Giebels C, Schneider U, Schӓfers HJ. Aortic annulus does not dilate over time after aortic root remodeling with or without annuloplasty. J Thorac Cardiovasc Surg. 2018;155:885–94.

Article  PubMed  Google Scholar 

Bilkhu R, Tome M, Marciniak A, Edsell M, Jahangiri M. Does the aortic annulus dilate after aortic root remodeling? Ann Thorac Surg. 2020;110:943–8.

Article  PubMed  Google Scholar 

Furukawa K, Kamohara K, Yunoki J, Koga S, Itoh M, Morokuma H, et al. Should the annulus be fixed in aortic valve-sparing root replacement with remodeling? Gen Thorac Cardiovasc Surg. 2017;65:200–5.

Article  PubMed  Google Scholar 

Kunihara T. Toward standardization of valve-sparing root replacement and annuloplasty. Gen Thorac Cardiovasc Surg. 2018;66:685–91.

Article  PubMed  Google Scholar 

Ouzounian M, Rao V, Manlhiot C, Abraham N, David C, Feindel CM, et al. Valve-sparing root replacement compared with composite valve graft procedures in patients with aortic root dilation. J Am Coll Cardiol. 2016;68:1838–47.

Article  PubMed  Google Scholar 

Lansac E, Di Centa I, Danial P, Bouchot O, Arnaud-Crozat E, Hacini R, et al. Aortic valve repair versus mechanical valve replacement for root aneurysm: the CAVIAAR multicentric study. Eur J Cardiothorac Surg. 2022;62(2):1–10.

Article  Google Scholar 

Lansac E, Di Centa I, Rama A, Varnous S, Jault F, Duran C, et al. External aortic annuloplasty ring for valve-sparing procedures. Ann Thorac Surg. 2005;79:356–8.

Article  PubMed  Google Scholar 

Wuliya M, Sleilaty G, Centa ID, Khelil N, Berrebi A, Czitrom D, et al. An expansible aortic ring to preserve aortic root dynamics after aortic valve repair. Eur J Cardiothorac Surg. 2015;47:482–90.

Article  PubMed  Google Scholar 

Aicher D, Schneider U, Schmied W, Psych D, Kunihara T, Tochii M, et al. Early results with annular support in reconstruction of the bicuspid aortic valve. J Thorac Cardiovasc Surg. 2013;145:S30–4.

Article  PubMed  Google Scholar 

Kunihara T, Aicher D, Rodionycheva S, Groesdonk HV, Langer F, Sata F, et al. Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair. J Thorac Cardiovasc Surg. 2012;143:1389–95.

Article  PubMed  Google Scholar 

Yacoub M, Gehle P, Chandrasekaran V, Birks EJ, Child A, Radley-Smith R. Late results of a valve-preserving operation in patients with aneurysms of the ascending aorta and root. J Thorac Cardiovasc Surg. 1998;115:1080–90.

Article  CAS  PubMed  Google Scholar 

Lansac E, Di Centa I, Sleilaty G, Lejeune S, Berrebi A, Zacek P, et al. Remodeling root repair with an external aortic ring annuloplasty. J Thorac Cardiovasc Surg. 2017;153:1033–42.

Article  PubMed  Google Scholar 

Schӓfers HJ, Raddatz A, Schmied W, Psych D, Takahashi H, Miura Y, et al. Reexamining remodeling. J Thorac Cardiovasc Surg. 2015;149:S30–6.

Article  Google Scholar