Short and mid-term outcomes of valve-sparing, aortic root reimplantation (David's procedure)

In the current study, we aimed to report the short- and mid-term outcomes of patients undergoing valve-sparing aortic root reimplantation (VSARR) and our center's experience with the procedure. Forty patients with aortic root aneurysms underwent VSARR at our center from 2010 until 2022. We retr...

Full description

Saved in:

Bibliographic Details
Published in:	Journal of cardiothoracic surgery Vol. 19; no. 1; pp. 36 - 5
Main Authors:	Salehi Omran, Abbas, Aeen, Ali, Nayebirad, Sepehr, Vakili-Basir, Ahmad, Najafi, Mohammad Sadeq, Mohseni-Badalabadi, Reza, Shirani, Shapour, Zoroufian, Arezou, Jalali, Arash, Mostafanejad, Fatemeh Alsadat, Sahebjam, Mohammad
Format:	Journal Article
Language:	English
Published:	England BioMed Central Ltd 31-01-2024 BioMed Central BMC
Subjects:	Adult Aged Aneurysms Anticoagulants Aorta Aorta, Thoracic - surgery Aortic aneurysm Aortic aneurysms Aortic dissection Aortic valve Aortic Valve - surgery Aortic Valve Insufficiency - surgery Bentall procedure Clinical outcomes Coronary vessels David’s procedure Echocardiography Female Heart Heart Valve Prosthesis Implantation - methods Heart valves Hemodynamics Hospitals Humans Implants, Artificial Iran Male Marfan syndrome Medical records Middle Aged Mortality Patient outcomes Patients Population studies Prostheses Prosthesis Replantation Retrospective Studies Statistical analysis Surgeons Surgery Sutures Treatment Outcome Valve-sparing aortic root replacement Iran Bentall procedure David’s procedure Valve-sparing aortic root replacement Aortic aneurysm
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	In the current study, we aimed to report the short- and mid-term outcomes of patients undergoing valve-sparing aortic root reimplantation (VSARR) and our center's experience with the procedure. Forty patients with aortic root aneurysms underwent VSARR at our center from 2010 until 2022. We retrospectively reviewed the medical records of these patients and extracted the relevant data. After carefully examining the aortic valve, the surgeon decided to perform Bentall or David's procedure during the operation. The study population comprised 31 (77.5%) men and nine (22.5%) women, with a mean age of 55.35 ± 15.40. One patient developed hemodynamic instability post-surgery in the hospital and died from multi-organ failure. Another patient had severe AI in the intraoperative echocardiography, and aortic valve replacement with a prosthetic graft was performed during the same operation. In pre-operation echocardiography, 25 (62.5%) patients had severe, nine (22.5%) had moderate, and six (15%) had mild AI. In the in-hospital post-operation follow-up echo, AI was improved, and no patients had severe AI (P < 0.001). Only eight patients had moderate AI in post-one-year follow-up echo exams, while the rest had mild AI. David's procedure showed excellent mid-term results in our center, with only one in-hospital mortality.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1749-8090 1749-8090
DOI:	10.1186/s13019-024-02546-9