HOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICY
aneurysm
DISEASE PROGRESSION, EVENTS, ANEURYSM, COMPLICATIONS
Long-term data are needed to determine the role of all possible treatments in the surgical repertoire. Improved prediction of aortic complications will further help guide patient selection. A shared decision-making process should involve weighing the risk of watchful waiting against the potential risks of all available surgical treatments.VSRR and PEARS both seem to offer favourable mid-term survival, freedom from reintervention and preservation of valve function in syndromic root aneurysm with near-normal valve function. Our study indicates that an earlier intervention in the disease progression via PEARS may be justified with a low probability of developing aortic events if the necessary attention goes to the coronary anatomy.