Purpose of review: Aortic valve-sparing (AVS) operations include an armamentarium of procedures, which preserve the aortic cusps in aortic root dilation with aortic insufficiency. The purpose of this review article is to specifically outline the surgical indications, to describe the various techniques, and to present results from the most current series in AVS operations.
Recent findings: In the worldwide literature, there is promising data on AVS operations. Patients undergoing AVS operations not only have better long-term survival but also appear to have a reduced risk of aortic insufficiency and thromboembolic complications.
Summary: AVS operations are an excellent option for patients with an aortic root aneurysm and normal/minimally diseased aortic cusps.