The outcome after aortic valve-sparing (David) operation in 179 patients: a single-centre experience

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Sergey LeontyevMichael A Borger

Abstract

The David aortic valve-sparing reimplantation (AVr-D) operation is increasingly being used in patients with aortic root aneurysmal disease and pliable aortic cusps. The objective of this study was to assess our early and medium-term outcomes with the AVr-D operation. Between 2003 and 2011, a total of 179 patients underwent AVr-D procedures. The mean patient age was 49.7 ± 15.1 years, and 23.5% (n = 42) were females. Marfan syndrome was present in 17.3% of patients (n = 31), and acute Type A aortic dissection in 15.6% (n = 28). Clinical follow-up was 100% complete and was 1.8 ± 1.6 years (0 days to 7.5 years) long. Echocardiographic follow-up was performed 2.2 ± 1.5 years (0 days to 7.5 years) postoperatively and was 77% complete. Early mortality was 1.1% (n = 2), with both deaths occurring in patients with Type A dissection. Pre-discharge echocardiography revealed no patients with >2+ aortic insufficiency (AI), 19.6% of patients (n = 34) with 1+ or 2+ AI and 80.4% of patients (n = 145) with trace or no AI. Left ventricular end-diastolic diameters decreased significantly from 5.6 ± 0.9 to 5.1 ± 0.8 cm early postoperatively (P < 0.01). Transvalvular maximum gradients were similar before discharge and at last follow-up (10.6 ± 5.4...Continue Reading

References

Apr 1, 1987·Journal of the American College of Cardiology·G J PerryB Soto
Jan 1, 1982·Scandinavian Journal of Thoracic and Cardiovascular Surgery·H VejlstedJ Arnbjerg
Dec 2, 1998·The Journal of Thoracic and Cardiovascular Surgery·H SchäfersU Grundmann
Apr 3, 2002·Circulation·Kim A EagleUNKNOWN International Registry for Aortic Dissection (IRAD) Investigators
Jul 27, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·K KallenbachW Harringer
Mar 20, 2003·The Annals of Thoracic Surgery·Klaus KallenbachWolfgang Harringer
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
Feb 6, 2004·The Journal of Thoracic and Cardiovascular Surgery·Matthias KarckAxel Haverich
Jul 29, 2006·The Journal of Thoracic and Cardiovascular Surgery·Tirone E DavidManjula Maganti
Jan 30, 2007·The Annals of Thoracic Surgery·Hugues JeanmartGebrin El Khoury
Jan 30, 2007·The Annals of Thoracic Surgery·Armin W ErasmiMartin Misfeld
Jan 30, 2007·The Annals of Thoracic Surgery·Klaus KallenbachMatthias Karck
May 24, 2008·The Annals of Thoracic Surgery·Nishant D PatelDuke E Cameron
Feb 9, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·George MatalanisPhilip A R Hayward
Dec 1, 2010·The Journal of Thoracic and Cardiovascular Surgery·Christian D EtzGabriele Di Luozzo
Feb 1, 2011·The Annals of Thoracic Surgery·Sergey LeontyevFriedrich W Mohr
Jun 3, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Malakh ShresthaAxel Haverich
Aug 23, 2011·The Journal of Thoracic and Cardiovascular Surgery·Takashi KuniharaHans-Joachim Schäfers

❮ Previous
Next ❯

Citations

Sep 26, 2013·Interactive Cardiovascular and Thoracic Surgery·Khalil FattouchGiuseppe Speziale
Jan 9, 2014·Interactive Cardiovascular and Thoracic Surgery·Nadejda MonsefiAnton Moritz
Sep 10, 2014·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·S LeontyevF W Mohr
Feb 13, 2014·The Journal of Thoracic and Cardiovascular Surgery·Carmelo MignosaAntonino S Rubino
Apr 4, 2014·The Annals of Thoracic Surgery·Michael A Borger
Jan 16, 2014·The Annals of Thoracic Surgery·Joseph S CoselliScott A LeMaire
Jan 23, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Denis BerdajsLudwig K von Segesser
Jul 4, 2012·The Annals of Thoracic Surgery·Sreekumar SubramanianFriedrich W Mohr
Aug 1, 2015·The Annals of Thoracic Surgery·Bardia ArabkhaniJohanna J M Takkenberg
Oct 21, 2014·Journal of Cardiac Surgery·Madelien V RegeerVictoria Delgado
Aug 13, 2013·International Journal of Cardiology·Cristiano SpadaccioBart Meyns
Dec 18, 2013·JACC. Cardiovascular Imaging·Klaus KallenbachThomas H Marwick
Jul 16, 2014·Langenbeck's Archives of Surgery·Nadejda MonsefiAnton Moritz
Jun 2, 2016·Journal of Cardiovascular Translational Research·Cristiano SpadaccioAlberto Rainer
Jan 21, 2017·The Journal of Thoracic and Cardiovascular Surgery·Thomas G Gleason
Sep 18, 2017·General Thoracic and Cardiovascular Surgery·Takashi Kunihara
Jan 20, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Nadejda MonsefiAnton Moritz
Dec 19, 2013·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Philip S CrookeJ Scott Rankin
Aug 26, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sergey Leontyev, Michael A Borger
Dec 26, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Denis BerdajsLudwig K von Segesser
Sep 19, 2018·General Thoracic and Cardiovascular Surgery·Takashi Kunihara
Oct 17, 2020·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Lukas SchambergerMichael Andrew Borger
Apr 7, 2021·Surgical Technology International·Leonard PittsJörg Kempfert

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.