{"schema_version":"bookimed.page-context.v1","id":"aortic-surgery","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-surgery.json","index_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/index.json","full_dataset_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/content.json","content_revision":"source-driven-rankings-20261008","date_modified":"2026-10-08","language":"en","kind":"guide","title":"Aortic aneurysm surgery: options and specialist teams","summary":"Aortic surgery treats a weakened or enlarged artery; the affected segment determines the operation. Root and ascending disease usually require a different pathway from descending disease that may suit an endovascular stent.","research_credit":{"name":"Yevhenii Kozlov","role":"Co-Founder of Bookimed","url":"https://us-uk.bookimed.com/ceo/kozlov/","contribution":"Research personally prepared and reviewed","assistance":"AI tools assisted source research."},"editorial_scope":"Source-based patient information; an individual treatment plan requires clinical review.","research_method":"How this guide is researched and compared Research project led by Yevhenii Kozlov . We link clinical guidance, primary studies and named hospital or offer sources beside the relevant statements. Comparisons distinguish individual operators from programme results and preserve the study population, follow-up and limitations. Prices are dated examples with their stated scope. Research and editorial preparation are separate from clinical review; no named clinician has medically reviewed this edition. Bookimed provides care coordination. Partner and reference programmes are identified from their sources; paid ordering is not used in our published-cohort comparison. Read the editorial policy .","key_takeaways":[{"label":"The segment changes treatment","text":"Root, ascending, arch and descending disease involve different anatomy and surgical strategies.","sources":["C09"]},{"label":"The native valve may be preserved","text":"Selected aortic-root operations retain the patient’s valve rather than automatically replacing it.","sources":["C09"]},{"label":"Diameter is only one factor","text":"Growth, symptoms, body size, bicuspid anatomy and inherited disease also influence treatment timing.","sources":["C09"]}],"benefits":[{"text":"A segment-specific operation can treat the diseased aorta and, where feasible, preserve the native valve.","sources":["C09"]}],"limitations":[{"text":"Repair does not remove the need for blood-pressure treatment and surveillance of the remaining aorta. Endovascular repair is not a substitute for every root or ascending operation.","sources":["C09"]}],"sections":[{"id":"benefit-balance","title":"Benefits and trade-offs","text":"Benefits and trade-offs Potential advantages A segment-specific operation can treat the diseased aorta and, where feasible, preserve the native valve. Sources: ACC/AHA aortic guidance (2022) Trade-offs and limits Repair does not remove the need for blood-pressure treatment and surveillance of the remaining aorta. Endovascular repair is not a substitute for every root or ascending operation. Sources: ACC/AHA aortic guidance (2022)","links":[{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"},{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"}]},{"id":"anatomy","title":"Aortic root, ascending, arch and descending aneurysms","text":"Aortic root, ascending, arch and descending aneurysms The aortic root contains the valve area; the ascending aorta and arch involve different structures from the descending thoracic aorta. Associated valve disease can expand the required operation. Endovascular stent-grafting (TEVAR) is a route for suitable descending thoracic disease. It is not a general replacement for root or ascending-aortic surgery. Sources: ACC/AHA aortic guidance (2022)","links":[{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"}]},{"id":"timing","title":"When is aortic aneurysm surgery considered?","text":"When is aortic aneurysm surgery considered? Guidelines distinguish sporadic aneurysms from genetic aortic disease and bicuspid-valve-associated disease. Rapid growth, symptoms, body-size indexing and a planned valve operation can change the decision. A specialist assessment should use the correct disease category. Serial measurements should be interpreted with their imaging method and dates. An apparent change may need careful comparison of the original studies, not just the numbers in two reports. Sources: ACC/AHA aortic guidance (2022)","links":[{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"}]},{"id":"options","title":"Benefits and limits of aortic treatment routes","text":"Benefits and limits of aortic treatment routes Anatomy Relevant strategy Trade-off Aortic root Root replacement with valve preservation or valve replacement Native-valve preservation requires suitable valve anatomy and durable reconstruction Ascending aorta or arch Replacement of the affected segment, sometimes with associated valve work A larger or staged operation may be needed for more extensive disease Descending thoracic aorta Endovascular stent-graft when anatomy is suitable, or open repair Stent-grafts need surveillance and are not suitable for all anatomy Inherited aortic disease Disease-specific timing and long-term surveillance The remaining aorta and affected relatives can need continued assessment Sources: ACC/AHA aortic guidance (2022)","links":[{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"}],"tables":[[["Anatomy","Relevant strategy","Trade-off"],["Aortic root","Root replacement with valve preservation or valve replacement","Native-valve preservation requires suitable valve anatomy and durable reconstruction"],["Ascending aorta or arch","Replacement of the affected segment, sometimes with associated valve work","A larger or staged operation may be needed for more extensive disease"],["Descending thoracic aorta","Endovascular stent-graft when anatomy is suitable, or open repair","Stent-grafts need surveillance and are not suitable for all anatomy"],["Inherited aortic disease","Disease-specific timing and long-term surveillance","The remaining aorta and affected relatives can need continued assessment"]]]},{"id":"records","title":"The measurements behind aortic planning","text":"The measurements behind aortic planning CT or MRI defines the affected segment and its dimensions. Earlier scans establish growth when measurements are compared consistently. Echocardiography identifies associated valve disease. Family history and genetic findings can alter treatment thresholds. Sources: ACC/AHA aortic guidance (2022)","links":[{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"}]},{"id":"programmes","title":"Choose a team for the aortic segment and operation you need","text":"Choose a team for the aortic segment and operation you need Aortic expertise is segment-specific: root reconstruction, arch work, descending repair and reoperation demand different operative strategies. The linked profiles identify which services and methods each programme describes. Royal Brompton’s sources include root and arch work; other named profiles cover aortic surgery within their broader practice. Sources: Mr Ulrich Rosendahl | Royal Brompton & Harefield hospitals · Cardiovascular Surgery — Anadolu Medical Center · Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital · Dr. Naresh Trehan | Medanta Compare clinics ↗ Specialists ↗","links":[{"label":"Mr Ulrich Rosendahl | Royal Brompton & Harefield hospitals","url":"https://www.rbht.nhs.uk/specialists/mr-ulrich-rosendahl"},{"label":"Cardiovascular Surgery — Anadolu Medical Center","url":"https://www.anadolumedicalcenter.com/medical-field/cardiovascular-surgery"},{"label":"Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/"},{"label":"Dr. Naresh Trehan | Medanta","url":"https://www.medanta.org/hospitals-near-me/south-delhi/speciality/cardiology/doctor/dr-naresh-trehan"},{"label":"Compare clinics ↗","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-clinics/"},{"label":"Specialists ↗","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-surgeons/"}]},{"id":"follow-up","title":"Follow-up and imaging after aortic repair","text":"Follow-up and imaging after aortic repair Your plan should cover blood-pressure treatment, imaging of the remaining aorta, local follow-up and activity advice. Emergency aortic disease follows an urgent local-care pathway; a planned international consultation is intended for stable, elective decisions. Sources: ACC/AHA aortic guidance (2022) Recovery ↗","links":[{"label":"ACC/AHA aortic guidance (2022)","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad"},{"label":"Recovery ↗","url":"https://hub.bookimed.com/heart-surgery/recovery/"}]},{"id":"native-valve","title":"Compare evidence for preserving the native aortic valve","text":"Compare evidence for preserving the native aortic valve Valve-sparing root surgery has its own evidence question: how often does the retained valve leak or need another operation years later? The comparison includes reimplantation and remodeling cohorts, with the anatomy, follow-up and statistical method kept visible. Sources: A progress report on reimplantation of the aortic valve · Remodeling of the aortic root—a 28-year journey Compare surgeon expertise ↗ Aortic valve disease ↗","links":[{"label":"A progress report on reimplantation of the aortic valve","url":"https://pubmed.ncbi.nlm.nih.gov/33008570/"},{"label":"Remodeling of the aortic root—a 28-year journey","url":"https://www.annalscts.com/article/view/17010/html"},{"label":"Compare surgeon expertise ↗","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-surgeon-comparison/"},{"label":"Aortic valve disease ↗","url":"https://hub.bookimed.com/heart-surgery/aortic-valve-disease/"}]},{"id":"matching-specialists","title":"Specialists for this treatment pathway","text":"Specialists for this treatment pathway Explore each specialist’s clinical focus, current programme and the studies relevant to this treatment. The listed roles include cardiac surgeons and, where appropriate, interventional cardiologists. Portrait source ↗ Istanbul · Turkey cardiac surgeon Ali Fedakar → Fedakar’s listed Hisar practice includes aortic surgery and surgery for aortic dissection. Hisar Hospital Intercontinental → Sources: Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital View expertise and research → Portrait source ↗ Gurugram · India cardiac surgeon Naresh Trehan → Trehan’s Medanta practice includes aortic aneurysms alongside valve and coronary disease. Medanta → Sources: Cardiac Surgery Experts in Gurugram — Medanta View expertise and research → Portrait source ↗ London · United Kingdom cardiac surgeon Ulrich Rosendahl → Rosendahl’s expertise covers valve-sparing root replacement, arch and thoraco-abdominal surgery, including inherited aortic disease and reoperations. Royal Brompton Hospital → Sources: Ulrich Rosendahl — clinical expertise and Royal Brompton location View expertise and research → Portrait source ↗ Toronto · Canada cardiac surgeon Piroze M. Davierwala → UHN documents Davierwala’s experience in thoracic aortic operations and his programme’s minimally invasive aortic service. Peter Munk Cardiac Centre, Toronto General Hospital → Sources: MICS programme and Dr Piroze M. Davierwala View expertise and research → EL Paris · France cardiac surgeon Emmanuel Lansac → Lansac’s research combines aortic-root remodelling with external support of the valve annulus to retain the natural aortic valve. AP-HP Pitié-Salpêtrière → Sources: External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring. · Dr Emmanuel Lansac View expertise and research → Portrait source ↗ Durham, North Carolina · United States cardiac surgeon G. Chad Hughes → Hughes’s Duke practice covers valve-sparing root replacement, arch and thoraco-abdominal repair, and thoracic endovascular treatment. Duke University Hospital → Sources: G. Chad Hughes, MD · Duke Center for Aortic Disease combines cardiothoracic and vascular surgery View expertise and research → Browse the full specialist directory →","links":[{"label":"Portrait source ↗","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/"},{"label":"Ali Fedakar →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/"},{"label":"Hisar Hospital Intercontinental →","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/"},{"label":"Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/"},{"label":"Portrait source ↗","url":"https://www.medanta.org/hospitals-near-me/south-delhi/speciality/cardiology/doctor/dr-naresh-trehan"},{"label":"Naresh Trehan →","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/"},{"label":"Medanta →","url":"https://hub.bookimed.com/heart-surgery/clinic-medanta/"},{"label":"Cardiac Surgery Experts in Gurugram — Medanta","url":"https://www.medanta.org/doctor-listing/cardiac-surgery-doctors-in-gurugram?page=1"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/"},{"label":"Portrait source ↗","url":"https://www.rbht.nhs.uk/specialists/mr-ulrich-rosendahl"},{"label":"Ulrich Rosendahl →","url":"https://hub.bookimed.com/heart-surgery/doctor-ulrich-rosendahl/"},{"label":"Royal Brompton Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-rbht/"},{"label":"Ulrich Rosendahl — clinical expertise and Royal Brompton location","url":"https://guysandstthomasspecialistcare.co.uk/specialists/ulrich-rosendahl/"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-ulrich-rosendahl/"},{"label":"Portrait source ↗","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"},{"label":"Piroze M. Davierwala →","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/"},{"label":"Peter Munk Cardiac Centre, Toronto General Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/"},{"label":"MICS programme and Dr Piroze M. Davierwala","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/"},{"label":"Emmanuel Lansac →","url":"https://hub.bookimed.com/heart-surgery/doctor-emmanuel-lansac/"},{"label":"AP-HP Pitié-Salpêtrière →","url":"https://hub.bookimed.com/heart-surgery/clinic-pitie-salpetriere/"},{"label":"External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring.","url":"https://pubmed.ncbi.nlm.nih.gov/38914371/"},{"label":"Dr Emmanuel Lansac","url":"https://www.aphp.fr/dr-lansac-emmanuel"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-emmanuel-lansac/"},{"label":"Portrait source ↗","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"G. Chad Hughes →","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/"},{"label":"Duke University Hospital →","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/"},{"label":"G. Chad Hughes, MD","url":"https://www.dukehealth.org/find-doctors-physicians/g-chad-hughes-md"},{"label":"Duke Center for Aortic Disease combines cardiothoracic and vascular surgery","url":"https://physicians.dukehealth.org/articles/duke-center-aortic-disease-combines-expertise-cardiothoracic-and-vascular-surgery"},{"label":"View expertise and research →","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/"},{"label":"Browse the full specialist directory →","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-surgeons/"}]}],"introduction":"Heart surgery guide / Aortic surgery Aortic surgery · Decision guide Aortic aneurysm surgery: options and specialist teams Understand the difference between root, ascending, arch and descending aortic disease. Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Aortic surgery treats a weakened or enlarged artery; the affected segment determines the operation. Root and ascending disease usually require a different pathway from descending disease that may suit an endovascular stent. The segment changes treatment Root, ascending, arch and descending disease involve different anatomy and surgical strategies. Sources: ACC/AHA aortic guidance (2022) The native valve may be preserved Selected aortic-root operations retain the patient’s valve rather than automatically replacing it. Sources: ACC/AHA aortic guidance (2022) Diameter is only one factor Growth, symptoms, body size, bicuspid anatomy and inherited disease also influence treatment timing. Sources: ACC/AHA aortic guidance (2022)","related_documents":[{"id":"heart-surgery","title":"Heart surgery abroad: treatments, clinics and costs","kind":"home","url":"https://hub.bookimed.com/heart-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-surgery.json"},{"id":"clinics","title":"Heart surgery clinics: compare techniques and specialist teams","kind":"directory","url":"https://hub.bookimed.com/heart-surgery/clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinics.json"},{"id":"surgeons","title":"Find cardiac surgeons and heart specialists by procedure","kind":"surgeons","url":"https://hub.bookimed.com/heart-surgery/surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/surgeons.json"},{"id":"cost","title":"Heart surgery costs: valve surgery and CABG quotes","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/cost/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/cost.json"},{"id":"recovery","title":"Recovery after heart surgery: hospital, home and travel","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/recovery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/recovery.json"},{"id":"second-opinion","title":"Prepare for a heart surgery second opinion","kind":"inquiry","url":"https://hub.bookimed.com/heart-surgery/second-opinion/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/second-opinion.json"},{"id":"aortic-valve-disease","title":"Aortic stenosis, regurgitation and bicuspid valve surgery","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/aortic-valve-disease/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-valve-disease.json"},{"id":"doctor-ali-fedakar","title":"Ali Fedakar: Coronary bypass specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-ali-fedakar/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-ali-fedakar.json"},{"id":"doctor-naresh-trehan","title":"Naresh Trehan: Coronary bypass specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-naresh-trehan/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-naresh-trehan.json"},{"id":"doctor-ulrich-rosendahl","title":"Ulrich Rosendahl: Coronary bypass specialist","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-ulrich-rosendahl/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-ulrich-rosendahl.json"},{"id":"doctor-piroze-davierwala","title":"Piroze M. Davierwala: total-arterial minimally invasive CABG","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-piroze-davierwala/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-piroze-davierwala.json"},{"id":"doctor-emmanuel-lansac","title":"Emmanuel Lansac: aortic valve repair and root remodelling","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-emmanuel-lansac/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-emmanuel-lansac.json"},{"id":"doctor-g-chad-hughes","title":"G. Chad Hughes: aortic surgery and valve-sparing repair","kind":"doctor-profile","url":"https://hub.bookimed.com/heart-surgery/doctor-g-chad-hughes/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/doctor-g-chad-hughes.json"},{"id":"clinic-hisar","title":"Hisar Hospital Intercontinental: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-hisar/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-hisar.json"},{"id":"clinic-medanta","title":"Medanta: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-medanta/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-medanta.json"},{"id":"clinic-rbht","title":"Royal Brompton Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-rbht/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-rbht.json"},{"id":"clinic-uhn","title":"Peter Munk Cardiac Centre, Toronto General Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-uhn/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-uhn.json"},{"id":"clinic-pitie-salpetriere","title":"AP-HP Pitié-Salpêtrière: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-pitie-salpetriere/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-pitie-salpetriere.json"},{"id":"clinic-duke","title":"Duke University Hospital: heart surgery expertise","kind":"clinic-profile","url":"https://hub.bookimed.com/heart-surgery/clinic-duke/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/clinic-duke.json"},{"id":"aortic-surgery-surgeons","title":"Aortic surgery specialists","kind":"specialist-directory","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-surgeons/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-surgery-surgeons.json"},{"id":"aortic-surgery-clinics","title":"Aortic surgery clinics and specialist centres","kind":"clinic-directory","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-clinics/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-surgery-clinics.json"},{"id":"aortic-surgery-surgeon-comparison","title":"Valve-sparing aortic root surgery surgeon rankings: experience, methods and results","kind":"evidence-directory","url":"https://hub.bookimed.com/heart-surgery/aortic-surgery-surgeon-comparison/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/aortic-surgery-surgeon-comparison.json"}],"ranking":{"engine_version":"reported-volume-v1","facts_digest":"b2057ed11422aaf9ecbef7849da5e5c2be583ed36f70e64a8a183767f7154fef","calculated_at":"2026-10-08","facts":[{"id":"david-allcardiac-2015","provider_id":"toronto-root","family":"aorta","subject_scope":"surgeon_operator","measurement":"cumulative","procedure":"all_cardiac_surgery","inclusion_scope":"isolated-and-combined","value":15000,"relation":"more_than","display":"15,000+","unit":"All cardiac operations; procedure mix unspecified in count","period_label":"Career cumulative reported in 2015","reported_as_of":"2015","method":"All cardiac operations; procedure mix unspecified in count. Historical figure; source date shown.","source":{"url":"https://www.uhn.ca/PMCC/About/Globe_Mail/Pages/changing_cardiac_surgery_way_globe-2015.aspx","title":"Changing the way cardiac surgery is practiced","publisher":"Institution / clinical programme","published":"2015"},"checked_at":"2026-10-08"}],"views":[],"providers":[],"excluded":[{"fact_id":"david-allcardiac-2015","reason":"broader or different procedure"}],"default_views":{},"coverage":[{"provider_id":"toronto-root","family":"aorta","gaps":["Current programme annual aortic reimplantation count","David personal lifetime reimplantation count"],"source_ids":[],"unresolved_source_ids":["rs-david-allcardiac-2015"]}]},"sources":{"C09":{"id":"C09","title":"2022 ACC/AHA Aortic Disease Guideline Key Perspectives: Part 2 of 2","url":"https://www.acc.org/Latest-in-Cardiology/ten-points-to-remember/2022/11/01/12/21/2022-Guideline-on-Aortic-Disease-2-gl-ad","publisher":"American College of Cardiology","published":"2022-11-02","read_at":"2026-10-07","source_type":"Official society guideline summary"},"anadolu-programme":{"url":"https://www.anadolumedicalcenter.com/medical-field/cardiovascular-surgery","title":"Cardiovascular Surgery — Anadolu Medical Center"},"hisar-profile":{"id":"hisar-profile","title":"Prof. Dr. Ali Fedakar, M.D. | Hisar Intercontinental Hospital","url":"https://hisarhospital.com/en/doctor/prof-ali-fedakar-m-d/","read_at":"2026-10-07","source_type":"official_hospital"},"medanta-profile":{"id":"medanta-profile","title":"Dr. Naresh Trehan | Medanta","url":"https://www.medanta.org/hospitals-near-me/south-delhi/speciality/cardiology/doctor/dr-naresh-trehan","read_at":"2026-10-07","source_type":"official_hospital"},"rbht-profile":{"id":"rbht-profile","title":"Mr Ulrich Rosendahl | Royal Brompton & Harefield hospitals","url":"https://www.rbht.nhs.uk/specialists/mr-ulrich-rosendahl","read_at":"2026-10-07","source_type":"official_hospital"},"cabg-davierwala-current":{"id":"cabg-davierwala-current","title":"About the MICS Program — Peter Munk Cardiac Centre, UHN","url":"https://www.uhn.ca/PMCC/Minimally-Invasive-Cardiac-Surgery-Program/Pages/About.aspx","source_kind":"official_current_hospital_programme_profile","body_access":"search_returned_body_excerpt_read","support_location":"Dr. Piroze M. 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