الفهرس 
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Abstract
In cases of aortic root pathology with aortic valve regurgitation, valve sparing aortic root replacement by reimplantation technique is an effective alternative to Bentall procedure as both provide excellent early and mid-term outcomes out to 2 years. The follow-up period may not have been long enough to show clearer advantages for either procedure. However,Valve-sparing is associated with a higher risk of developing aortic insufficiency but no difference in reoperations
Recommendations VSRR requires specially trained surgeons and teams to be performed safely and effectively. This has long been a concern with VSRR, and the proposed solution has usually been to defer treatment to specialised centres with public reporting of outcomes. Indeed, consistently good outcomes for aortic root surgery can more readily be achieved in large volume centres, even in complex patients such as those presenting with type A aortic dissection. Nonetheless, efforts should be made to make VSRR more available and outcomes more comparable between centres. To achieve this, an increase in trained surgeons and training opportunities are necessary, as well as more public reporting of outcomes in a standardised manner. With the help of improved training in valve-sparing procedures and larger comparative studies in the future, VSRR may become the first line of approach in specific subgroup population with root aneurysms.