To ascertain if the operative technique has any influence on outcome, the surgical results after aortic root replacement using either a composite valve graft(CVG) or a separate graft and valve(SVG) were analyzed. Eighty-four patients received a CVG, and 36 had SVG replacement. The operative mortality rate was 6%for patients receiving a CVG and 3%for SVG replacement (non significant). Follow-up extended to 21 years (mean 124±45 months). The type of the procedure(SVG versus CVG) was not a significant predictor of in-hospital mortality, length of hospital stay, subsequent root dilatation(SVG), anastomotic dehiscence and subsequent surgery. The early and long-term results after CVG or SVG were similar, which reflects proper patient selection.
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