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Increased understanding of the root anatomy and its physiology has opened the way to techniques of aortic valve repair surgery. The techniques mainly relate to re-establishing a correct root and annular geometry and eliminating leaflet prolapse. These techniques are applied both in the presence of a dilated and normal root and are equally valid for tricuspid or bicuspid valve. Techniques for repairing a bicuspid valve might vary depending on the different valve phenotypes. Medium and long-term results appear favourable and potentially superior to those of prosthetic replacement in terms of valve-related complications and quality of life. Optimal surgical treatment, especially in younger and selected patients, should aim to avoid aortic valve replacement and its related complications.<\/jats:p>","DOI":"10.1093\/eurheartj\/ehaf038","type":"journal-article","created":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T15:12:57Z","timestamp":1739545977000},"page":"1394-1411","source":"Crossref","is-referenced-by-count":27,"title":["Current status of aortic valve repair surgery"],"prefix":"10.1093","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3603-2202","authenticated-orcid":false,"given":"Ruggero","family":"De Paulis","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, European Hospital, Unicamillus University , Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilaria","family":"Chirichilli","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, European Hospital, Unicamillus University , Rome ,","place":["Italy"]},{"name":"Department of Cardiac Surgery, San Camillo Hospital , Rome ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurent","family":"de Kerchove","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic and Vascular Surgery, Cliniques Universitaires Saint-Luc Universit\u00e9 Catholique de Louvain , Brussels ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4636-3339","authenticated-orcid":false,"given":"Alessandro","family":"Della Corte","sequence":"additional","affiliation":[{"name":"Department of Translational Medical Sciences, Cardiac Surgery Unit, University of Campania \u2018L. 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