{"schema_version":"bookimed.page-context.v1","id":"clinic-pitie-salpetriere","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","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":"clinic-profile","title":"AP-HP Pitié-Salpêtrière: heart surgery expertise","summary":"Pitié-Salpêtrière’s adult cardiac and aortic service lists Emmanuel Lansac on its team. His research on root remodelling with external annuloplasty offers a specific valve-preserving approach to a root aneurysm with or without leakage.","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":"Root and valve treated together","text":"Remodelling replaces the diseased root while external annuloplasty supports the valve annulus.","sources":["pd-adult-lansac375"]},{"label":"Technique-specific comparative evidence","text":"A 375-repair observational study compared 289 dedicated rings with 86 Dacron rings and found fewer late reoperations/leaks with the dedicated ring.","sources":["pd-adult-lansac375"]},{"label":"Current service affiliation","text":"The official AP-HP service includes cardiac surgeons, cardiologists and anaesthetists treating adult cardiac and aortic disease.","sources":["pd-adult-aphp-programme","pd-adult-lansac-official"]}],"benefits":[{"text":"The service includes a valve-preserving aortic-root approach supported by technique-specific comparative research.","sources":["pd-adult-lansac375","pd-adult-aphp-programme","pd-adult-lansac-official"]}],"limitations":[{"text":"The 2003–2020 cohort is not a present-day Pitié-only result or a randomized comparison with reimplantation or valve replacement. Lansac disclosed a financial relationship with CORONEO.","sources":["pd-adult-lansac375","pd-adult-aphp-programme","pd-adult-lansac-official"]}],"sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","text":"Clinical benefits and limitations Potential advantages The service includes a valve-preserving aortic-root approach supported by technique-specific comparative research. Sources: External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring. · Cardiac and thoracic surgery at Pitié-Salpêtrière · Dr Emmanuel Lansac Trade-offs and limits The 2003–2020 cohort is not a present-day Pitié-only result or a randomized comparison with reimplantation or valve replacement. Lansac disclosed a financial relationship with CORONEO. Sources: External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring. · Cardiac and thoracic surgery at Pitié-Salpêtrière · Dr Emmanuel Lansac","links":[{"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":"Cardiac and thoracic surgery at Pitié-Salpêtrière","url":"https://www.aphp.fr/pitie-salpetriere/service-de-chirurgie-cardiaque-et-thoracique"},{"label":"Dr Emmanuel Lansac","url":"https://www.aphp.fr/dr-lansac-emmanuel"},{"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":"Cardiac and thoracic surgery at Pitié-Salpêtrière","url":"https://www.aphp.fr/pitie-salpetriere/service-de-chirurgie-cardiaque-et-thoracique"},{"label":"Dr Emmanuel Lansac","url":"https://www.aphp.fr/dr-lansac-emmanuel"}]},{"id":"specialists","title":"Specialists and their clinical work","text":"Specialists and their clinical work EL Paris · France cardiac surgeon Emmanuel Lansac → Emmanuel Lansac is listed in Pitié-Salpêtrière’s cardiac surgery service. His technique-focused research combines root remodelling with an external ring supporting the valve annulus, aiming 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 →","links":[{"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/"}]},{"id":"evidence","title":"Procedure-specific research","text":"Procedure-specific research Read alongside Emmanuel Lansac’s profile → External annuloplasty: a comparative cohort Lansac coauthored a study of 375 root-remodelling repairs: 289 used a dedicated expansible external ring and 86 a Dacron ring. The dedicated-ring group had fewer late reoperations and recurrent regurgitation in matched and unmatched analyses. How to interpret this: Observational cases from 2003–2020, with median follow-up about four years despite ten-year estimates. It is not a randomized comparison with reimplantation or replacement, nor a present-day Pitié-only outcome report. Lansac disclosed a financial relationship with CORONEO. Sources: External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring.","links":[{"label":"Emmanuel Lansac’s profile →","url":"https://hub.bookimed.com/heart-surgery/doctor-emmanuel-lansac/"},{"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/"}]}],"introduction":"Heart surgery guide / AP-HP Pitié-Salpêtrière AP-HP Pitié-Salpêtrière · Decision guide AP-HP Pitié-Salpêtrière: heart surgery expertise Paris, France · Aortic-root surgery with a native-valve preservation focus Research by Yevhenii Kozlov · Co-Founder of Bookimed Updated 8 October 2026 Sources linked throughout At a glance Pitié-Salpêtrière’s adult cardiac and aortic service lists Emmanuel Lansac on its team. His research on root remodelling with external annuloplasty offers a specific valve-preserving approach to a root aneurysm with or without leakage. Root and valve treated together Remodelling replaces the diseased root while external annuloplasty supports the valve annulus. Sources: External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring. Technique-specific comparative evidence A 375-repair observational study compared 289 dedicated rings with 86 Dacron rings and found fewer late reoperations/leaks with the dedicated ring. Sources: External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring. Current service affiliation The official AP-HP service includes cardiac surgeons, cardiologists and anaesthetists treating adult cardiac and aortic disease. Sources: Cardiac and thoracic surgery at Pitié-Salpêtrière · Dr Emmanuel Lansac The Institut de Cardiologie at Pitié-Salpêtrière, shown on the hospital’s official cardiology page. · Image source ↗","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":"heart-valve-surgery","title":"Heart valve surgery: repair, replacement and catheter options","kind":"guide","url":"https://hub.bookimed.com/heart-surgery/heart-valve-surgery/","json_url":"https://hub.bookimed.com/wp-content/uploads/heart-surgery-hub-20261007/pages/heart-valve-surgery.json"},{"id":"aortic-surgery","title":"Aortic aneurysm surgery: options and specialist teams","kind":"guide","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"},{"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":"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"}],"entity":{"id":"pitie-salpetriere","name":"AP-HP Pitié-Salpêtrière — Cardiac and Thoracic Surgery","country":"France","city":"Paris","surgeon_ids":["emmanuel-lansac"],"source_attested_services":["adult cardiac surgery","aortic surgery","aortic valve repair assessment","valve-sparing root surgery assessment"],"patient_task_fit":"Aortic-root surgery with a native-valve preservation focus","source_ids":["pd-adult-lansac375","pd-adult-aphp-programme","pd-adult-lansac-official"],"bookimed_route":null,"clinic_route":null,"official_url":"https://www.aphp.fr/pitie-salpetriere/service-de-chirurgie-cardiaque-et-thoracique","value_headline":"Aortic-root surgery with a native-valve preservation focus","value_summary":"Pitié-Salpêtrière’s adult cardiac and aortic service lists Emmanuel Lansac on its team. His research on root remodelling with external annuloplasty offers a specific valve-preserving approach to a root aneurysm with or without leakage.","comparison_question":"","highlights":[{"label":"Root and valve treated together","text":"Remodelling replaces the diseased root while external annuloplasty supports the valve annulus.","source_ids":["pd-adult-lansac375"]},{"label":"Technique-specific comparative evidence","text":"A 375-repair observational study compared 289 dedicated rings with 86 Dacron rings and found fewer late reoperations/leaks with the dedicated ring.","source_ids":["pd-adult-lansac375"]},{"label":"Current service affiliation","text":"The official AP-HP service includes cardiac surgeons, cardiologists and anaesthetists treating adult cardiac and aortic disease.","source_ids":["pd-adult-aphp-programme","pd-adult-lansac-official"]}],"guide_links":[{"slug":"aortic-surgery","label":"Understand root surgery"},{"slug":"aortic-valve-disease","label":"Repair or replace the valve"}],"topic_mapping":[{"slug":"aortic-surgery","services":["adult cardiac surgery","aortic surgery","aortic valve repair assessment","valve-sparing root surgery assessment"]},{"slug":"aortic-valve-disease","services":["adult cardiac surgery","aortic surgery","aortic valve repair assessment","valve-sparing root surgery assessment"]}],"photo_status":"No identified hospital/programme photograph selected in the inspected sources; do not substitute a logo or unrelated building.","topics":["aorta","valve"],"profile_slug":"clinic-pitie-salpetriere","photo":{"source_page":"https://pitiesalpetriere.aphp.fr/cardiologie/page_service_departement_cardiologie/","width":920,"height":250,"alt":"Institut de Cardiologie building at Pitié-Salpêtrière, behind flowering trees","caption":"The Institut de Cardiologie at Pitié-Salpêtrière, shown on the hospital’s official cardiology page.","url":"https://hub.bookimed.com/wp-content/uploads/2026/10/pitie-salpetriere.png"},"comparison_answer":"The service includes a valve-preserving aortic-root approach supported by technique-specific comparative research.","key_takeaways":[{"label":"Root and valve treated together","text":"Remodelling replaces the diseased root while external annuloplasty supports the valve annulus.","sources":["pd-adult-lansac375"]},{"label":"Technique-specific comparative evidence","text":"A 375-repair observational study compared 289 dedicated rings with 86 Dacron rings and found fewer late reoperations/leaks with the dedicated ring.","sources":["pd-adult-lansac375"]},{"label":"Current service affiliation","text":"The official AP-HP service includes cardiac surgeons, cardiologists and anaesthetists treating adult cardiac and aortic disease.","sources":["pd-adult-aphp-programme","pd-adult-lansac-official"]}],"benefits":[{"text":"The service includes a valve-preserving aortic-root approach supported by technique-specific comparative research.","sources":["pd-adult-lansac375","pd-adult-aphp-programme","pd-adult-lansac-official"]}],"limitations":[{"text":"The 2003–2020 cohort is not a present-day Pitié-only result or a randomized comparison with reimplantation or valve replacement. Lansac disclosed a financial relationship with CORONEO.","sources":["pd-adult-lansac375","pd-adult-aphp-programme","pd-adult-lansac-official"]}],"patient_sections":[{"id":"benefit-balance","title":"Clinical benefits and limitations","paragraphs":[],"items":[],"sources":[],"kind":"benefit-balance","links":[],"table":null},{"id":"specialists","title":"Specialists and their clinical work","paragraphs":[],"items":[],"sources":[],"kind":"clinic-doctors","links":[],"table":null},{"id":"evidence","title":"Procedure-specific research","paragraphs":[],"items":[],"sources":[],"kind":"clinic-evidence","links":[],"table":null}]},"sources":{"pd-adult-lansac-official":{"title":"Dr Emmanuel Lansac","publisher":"AP-HP","url":"https://www.aphp.fr/dr-lansac-emmanuel","read_at":"2026-10-08","kind":"official provider or programme page","support":"Current Pitié-Salpêtrière cardiac/thoracic surgery consultation listing.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/lansac-official.txt"},"pd-adult-aphp-programme":{"title":"Cardiac and thoracic surgery at Pitié-Salpêtrière","publisher":"AP-HP","url":"https://www.aphp.fr/pitie-salpetriere/service-de-chirurgie-cardiaque-et-thoracique","read_at":"2026-10-08","kind":"official provider or programme page","support":"Adult cardiac/aortic surgery, multidisciplinary service; Lansac listed on current team.","limitations":"An institutional listing supports current role and stated clinical scope; it does not establish the next appointment, operating allocation or individual risk-adjusted results.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/web-body-observations.md"},"pd-adult-lansac375":{"title":"External aortic annuloplasty with a dedicated expansible ring improves outcomes in remodeling root repair compared with homemade Dacron ring.","publisher":"The Journal of thoracic and cardiovascular surgery","url":"https://pubmed.ncbi.nlm.nih.gov/38914371/","read_at":"2026-10-08","kind":"original study abstract and author/affiliation record","support":"Abstract body and authorship inspected; numerical claims below are restricted to the reported endpoint and population.","limitations":"Full manuscript and supplementary operator allocations were not read in this pass. Authorship is not an individual surgical outcome series.","body_file":"outputs/heart-surgery-hub-20261007/review/provider-depth/adult/sources/lansac375.json","published_at":"2024-06-22","doi":"10.1016/j.jtcvs.2024.06.013","authors":"Shraer N, Youssefi P, Garufi L, Debauchez M, Lansac E."}}}