Resection of noncoronary sinus segment in a nonaneurysmal root: To do or not to do

We read with keen interest the report by Hui and colleagues1 on the stability of nonaneurysmal sinus of Valsalva after aortic valve and ascending aorta replacement in patients with bicuspid aortic valve (BAV) and tricuspid aortic valve (TAV). Of 406 patients followed up, only 1 required reoperation for root dilatation at 22 postoperative years. We congratulate Hui and colleagues1 on their excellent outcomes and for adding to the increasing literature supporting sinus of Valsalva preservation in the context of aortic valvulopathy with isolated ascending aorta or arch aneurysm.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Letter to the Editor Source Type: research