Overview

Aortic root surgery is performed to treat diseases affecting the base of the aorta, where it connects to the heart. Conditions like aneurysms, valve disorders, or connective tissue diseases can weaken the aortic root, increasing the risk of rupture or heart failure.

Symptoms

• Shortness of breath, especially on exertion

• Chest pain or pressure

• Dizziness or fainting

• Signs of heart failure

• Heart murmur

Common Conditions Requiring Surgery

• Aortic root aneurysm

• Aortic regurgitation

• Marfan syndrome

• Bicuspid aortic valve disease

• Aortic dissection

Diagnosis

• Echocardiography (TTE or TEE)

• Cardiac MRI or CT scan

• Aortography

• Physical examination and genetic testing if hereditary disorder suspected

Surgical Options

• Bentall Procedure: Replacement of the aortic root and valve with a composite graft

• Valve-sparing Root Replacement: Preserves the patient’s native valve

• Ross Procedure: Particularly for younger patients; uses the patient’s own pulmonary valve

Recovery & Follow-Up

• ICU care post-surgery

• Cardiac rehabilitation

• Lifelong monitoring with echocardiograms and CT/MRI

Conclusion

Aortic root surgery can be lifesaving for patients at risk of aortic rupture or valve failure. Early diagnosis and surgical planning are key to successful outcomes.