Abstract

other prosthesis types. Over 6000 individual patients were included in the selected case series’. Mean patient age ranged from 64.0 to 76.0 years. 48.1% of patients were in New York Heart Association class 3–4 pre-operatively; the majority (75.7%) of cases used the subcoronary implantation technique. Operativemortality ranged from 1.8% to 9.6%, and five-year actuarial survival ranged from 71 3.0% to greater than 90.0%. Post-operative neurological event and prosthetic endocarditis rates ranged from 0% to 6.5% and 0.7% to 2.0% (respectively). Discussion: Despite a lack of randomised studies, in those identified the FSB performed comparably against alternative prosthesis options regarding inhospital mortality, long-term survival and reduction in left ventricular mass index. Included case series demonstrated robust post-operative outcomes in both the short and long-term also.With longer-term clinical and echocardiographic follow-up of the FSB, additional outcomes will assist in confirming its place in aortic valve and root surgery.

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