Expanding the indications for the David V aortic root replacement: early results

The Journal of Thoracic and Cardiovascular Surgery
Bradley G LeshnowerEdward P Chen

Abstract

To examine the early results of the David V valve-sparing aortic root replacement procedure in expanded, higher risk clinical scenarios with appropriately selected patients. From 2005 to 2011, 150 David V valve-sparing aortic root replacements were performed within Emory Healthcare. A total of 78 patients (expanded group) had undergone the David V in expanded, difficult clinical settings such as emergent type A dissection (n = 29), grade 3+ or greater aortic insufficiency (AI) (n = 53), or reoperative cardiac surgery (n = 14). These patients were evaluated and compared with a group of 72 patients (traditional group) with less than grade 3+ AI who underwent a David V in a traditional, elective setting. The mean follow-up was 19 months (range, 1-72), and the follow-up data were 88% complete. There were 3 operative deaths (2.2%), all occurring in the expanded group. The overall patient survival at 6 years was 95%. Three patients required aortic valve replacement: two for severe AI and one for fungal endocarditis. Both groups had concomitant cusp repairs performed in conjunction with the David V (traditional, n = 10; and expanded, n = 16; P = .27). At follow-up, freedom from moderate AI was 93%, and the freedom from aortic valve re...Continue Reading

References

Nov 21, 2002·The Annals of Thoracic Surgery·Klaus KallenbachAxel Haverich
Apr 17, 2003·The Journal of Thoracic and Cardiovascular Surgery·D Craig Miller
Apr 17, 2003·The Journal of Thoracic and Cardiovascular Surgery·Nilto Carias de OliveiraGary Webb
Aug 4, 2005·The Journal of Thoracic and Cardiovascular Surgery·Thomas G Gleason
Sep 15, 2005·Circulation·Klaus KallenbachAxel Haverich
Jul 26, 2006·The Annals of Thoracic Surgery·Nishant D PatelDuke E Cameron
Dec 13, 2006·Seminars in Thoracic and Cardiovascular Surgery·Thomas G Gleason
Jan 30, 2007·The Annals of Thoracic Surgery·D Craig Miller
Sep 18, 2009·The Journal of Thoracic and Cardiovascular Surgery·Michael E HalkosEdward P Chen
Sep 23, 2009·The Journal of Thoracic and Cardiovascular Surgery·Tirone E DavidTimothy J Bradley
Jan 28, 2010·The Annals of Thoracic Surgery·Faraz KerendiEdward P Chen
Feb 24, 2010·The Journal of Thoracic and Cardiovascular Surgery·Santi TrimarchiUNKNOWN International Registry of Acute Aortic Dissection Investigators
Apr 20, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Catalin Constantin BadiuRüdiger Lange
Apr 27, 2010·The Annals of Thoracic Surgery·Lars G SvenssonEdward R Nowicki
Oct 20, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ruggero De Paulis
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Tirone E DavidSusan Armstrong
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Ruggero De PaulisLuigi Chiariello
Feb 22, 2011·The Journal of Thoracic and Cardiovascular Surgery·Tirone E David

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Citations

Jan 16, 2014·The Annals of Thoracic Surgery·Joseph S CoselliScott A LeMaire
Nov 2, 2013·The Journal of Thoracic and Cardiovascular Surgery·Elizabeth H StephensD Craig Miller
Oct 1, 2013·The Annals of Thoracic Surgery·Bradley G LeshnowerEdward P Chen
Oct 4, 2013·The Annals of Thoracic Surgery·David J Kaczorowski, Y Joseph Woo
Aug 1, 2015·The Annals of Thoracic Surgery·Bardia ArabkhaniJohanna J M Takkenberg
Oct 23, 2012·The Journal of Thoracic and Cardiovascular Surgery·John-Peder Escobar KvittingD Craig Miller
Jan 15, 2015·The Annals of Thoracic Surgery·Bradley G LeshnowerEdward P Chen
Dec 19, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Philip S CrookeJ Scott Rankin
Nov 24, 2020·Journal of Cardiac Surgery·Parth M PatelEdward P Chen
Dec 29, 2020·Seminars in Thoracic and Cardiovascular Surgery·Dale S DeasEdward P Chen
Jan 21, 2020·The Journal of Thoracic and Cardiovascular Surgery·Jun LiChunsheng Wang
Nov 17, 2020·The Annals of Thoracic Surgery·Kanika KalraEdward P Chen
Jan 10, 2021·The Annals of Thoracic Surgery·Dale S DeasEdward P Chen

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