Open AccessApproaches to aortic valve preservation in patients with aortic root an-eurysms and aortic insufficiency: the David procedure
Author(s) -
В. Е. Успенский,
И. В. Сухова,
М. Л. Гордеев
Publication year - 2009
Publication title -
arterialʹnaâ gipertenziâ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.126
H-Index - 5
eISSN - 2411-8524
pISSN - 1607-419X
DOI - 10.18705/1607-419x-2009-15-2-142-145
Subject(s) - regurgitation (circulation) , medicine , aortic root , aortic valve , ventricle , cardiology , aortic valve insufficiency , aortic aneurysm , surgery , aorta
Background. Aortic valve-sparing operations are one of the relatively new approaches for treatment of patients with aortic root aneurysm and aortic valve insufficiency, but nowadays the common treatment strategy is absent. Methods. We studied the short-term results of David I valve-sparing operations in 19 patients with aortic root aneurysms and aortic insufficiency. Results. There were no lethal cases observed. 3 patients had mild aortic regurgitation, the majority of patients had no or trace aortic insufficiency. The significant decrease of left ventricle sizes was shown. Conclusions. The David I technique of aortic valve reimplantation seems to be optimal in patients with aortic root aneurysm, aortic insufficiency and normal aortic cusps.