{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:48:42Z","timestamp":1753890522043,"version":"3.41.2"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T00:00:00Z","timestamp":1750291200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The decision to replace or not to replace the aortic valve in the surgical treatment of Type A Aortic Dissection can be complicated in hesitant cases. It is controversial which procedure should be used in such cases and may significantly alter intraoperative\/postoperative patient care and disease prognosis in an operation with a high mortality and morbidity rate, such as Type Aortic Dissection Surgery. In this study, we aim to compare the early and mid-term results of these two different methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between February 2019 and September 2022, 112 consecutive patients examined who underwent operation for TYPE A AORTIC DISSECTION in our clinic, retrospectively. Patients were than divided into two groups: those who the valve replaced group (Modified Bentall Procedure, SGI\u2009+\u2009AVR), (<jats:italic>n<\/jats:italic>\u2009=\u200926, 23.2%), and those who had the not valve replaced group (Isolated SGI, David II procedure, AV Resuspension), (<jats:italic>n<\/jats:italic>\u2009=\u200986, 76.8%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>It was observed that the X-Clamp and CPB times were longer and the need for postoperative mechanical support was higher in the valve replaced group (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.05). Although it was not statistically significant, the false lumen patency rate was higher and the survival time was lower in the valve replaced group. In the postoperative controls, moderate-to-severe aortic regurgitation was not seen in any of the patients who had preoperative moderate-to-severe aortic regurgitation in the not valve replaced group and there was no sinus valsalva aneurysm in any patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>When the intraoperative and postoperative results in our study were evaluated, it was concluded that the not valve replaced was superior to the valve replaced procedures for TYPE A AORTIC DISSECTION patients.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2025.1543017","type":"journal-article","created":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T05:32:29Z","timestamp":1750311149000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["To replace or not to replace the aortic valve during Type A Aortic Dissection surgery: early and mid-term 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