Surgical Management of Congenital Aortic and Truncal Valve Disease: A Comprehensive Review

Congenital aortic and truncal valve diseases pose significant challenges due to their complex anatomy, diverse clinical presentations, and impact on long-term outcomes. Surgical management requires a tailored approach, balancing the need for immediate functional improvement with strategies to minimize reintervention, especially in growing children. This article outlines different surgical options to treat this pathology. Despite multiple choices, surgical decision-making remains complex, influenced by patient age, valve morphology, and comorbidities. Long-term outcomes depend on achieving a durable repair while preserving ventricular function and minimizing complications, emphasizing the need for multidisciplinary expertise in managing these challenging conditions.