Medicine:Valve-sparing aortic root replacement

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Valve-sparing aortic root replacement
Other namesDavid procedure
Specialtycardiology

Valve-sparing aortic root replacement (also known as the David procedure) is a cardiac surgery procedure which is used to treat Aortic aneurysms and to prevent Aortic dissection.[1] It involves replacement of the aortic root without replacement of the aortic valve. Two similar procedures were developed, one by Sir Magdi Yacoub,[2] and another by Tirone David.[3][4]

Techniques

Re-modeling Technique

Established by Sir Magdi Yacoub.

Re-implantation Technique

Established by Tirone David and Christopher Feindel at the Toronto General Hospital.[5]

See also

References

  1. "The Modified David's Reimplantation Procedure". http://my.clevelandclinic.org/heart/disorders/aorta_marfan/davidreimplantation.aspx. 
  2. Marfan Syndrome: A Primer For Clinicians And Scientists. Peter Nicholas Robinson, Maurice Godfrey eds. Chapter 5: Duke E. Cameron and Vincent L. Gott. Surgical Management of the Marfan Patient at The Johns Hopkins Hospital.
  3. David, TE; David, CM; Ouzounian, M; Feindel, CM; Lafreniere-Roula, M (March 2021). "A progress report on reimplantation of the aortic valve.". The Journal of Thoracic and Cardiovascular Surgery 161 (3): 890–899.e1. doi:10.1016/j.jtcvs.2020.07.121. PMID 33008570. 
  4. Sef, D; Bahrami, T; Raja, SG; Klokocovnik, T (June 2022). "Current trends in minimally invasive valve-sparing aortic root replacement-Best available evidence.". Journal of Cardiac Surgery 37 (6): 1684–1690. doi:10.1111/jocs.16453. PMID 35348237. 
  5. "An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta.". J Thorac Cardiovasc Surg 103 (4): 617–21; discussion 622. 1992. doi:10.1016/S0022-5223(19)34942-6. PMID 1532219. 

External links