Valve-sparing aortic root replacement

Valve-sparing aortic root replacement
Other names	David procedure
Specialty	cardiology
[edit on Wikidata]

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]

References

^ "The Modified David's Reimplantation Procedure". clevelandclinic.org. Retrieved 15 July 2014.
^ 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.
^ 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. S2CID 222170984.
^ 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. S2CID 247777604.
^ David T, Feindel C (1992). "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. doi:10.1016/S0022-5223(19)34942-6. PMID 1532219.

External links

Chapter 31: Aortic Valve Repair and Aortic Valve-Sparing Operations by Tirone E. David in Cardiac Surgery in the Adult

Tests and procedures involving the heart

Cardiac surgery
Interventional cardiology
Cardiology diagnostic tests and procedures
Cardiac imaging

Surgery

Heart valves and septa	Valve repair Valvulotomy Mitral valve repair Valvuloplasty aortic mitral Valve replacement Aortic valve repair Aortic valve replacement Ross procedure Transcatheter Mitral valve replacement Transcatheter pulmonary valve replacement production of septal defect in heart enlargement of existing septal defect Atrial septostomy Balloon septostomy creation of septal defect in heart Blalock–Hanlon procedure shunt from heart chamber to blood vessel atrium to pulmonary artery Fontan procedure left ventricle to aorta Rastelli procedure right ventricle to pulmonary artery Sano shunt compound procedures for transposition of the great vessels Arterial switch operation Mustard procedure Senning procedure for univentricular defect Norwood procedure Kawashima procedure shunt from blood vessel to blood vessel systemic circulation to pulmonary artery shunt Blalock–Taussig shunt SVC to the right PA Glenn procedure
Cardiac vessels	CHD Angioplasty Bypass/Coronary artery bypass MIDCAB Off-pump CAB TECAB Coronary stent Bare-metal stent Drug-eluting stent Obstacle removal Endarterectomy Atherectomy Bentall procedure Valve-sparing aortic root replacement LeCompte maneuver
Other	Pericardium Pericardiocentesis Pericardial window Pericardiectomy Myocardium Cardiomyoplasty Dor procedure Septal myectomy Ventricular reduction Alcohol septal ablation Conduction system Maze procedure (Cox maze and minimaze) Catheter ablation Cryoablation Radiofrequency ablation Pacemaker insertion S-ICD implantation ICD implantation Cardiac resynchronization therapy Left atrial appendage occlusion Cardiotomy Heart transplantation