Approaches to aortic valve preservation in patients with aortic root an-eurysms and aortic insufficiency: the David procedure
https://doi.org/10.18705/1607-419X-2009-15-2-142-145
Abstract
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.
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.
About the Authors
V. Uspenskiy
Almazov federal heart, blood and endocrinology centre
Russian Federation
Russian Federation
I. V. Sukhova
Almazov federal heart, blood and endocrinology centre
Russian Federation
Russian Federation
M. L. Gordeev
Almazov federal heart, blood and endocrinology centre
Russian Federation
Russian Federation
References
1. Белов Ю.В., Степаненко А.Б., Кузнечевский Ф.В. Непосредственные и отдаленные результаты хирургического лечения аневризм и расслоений восходящего отдела и дуги аорты // Рос. кардиол. журн. - 2004. - № 5. - С. 5-17.
2.
3. Константинов В.А., Белов Ю.В., Соборов М.А. Аневризма аорты с аортальной недостаточностью: патоморфология и хирургическая тактика // Кардиология. - 1999. - № 11. - С. 4-10
4.
5. Тараканова О.Н. Оценка результатов хирургического лечения аневризм восходящей аорты: Автореф. дис. … канд. мед. наук. - Москва, 2006. - С. 22-23.
6.
7. Шихвердиев Н.Н., Хубулава Г.Г., Марченко С.П. Диагностика и лечение осложнений у больных с искусственными клапанами сердца. - СПб, 2006. - С. 103-107.
8.
9. David T.E., Feindel C.M., Webb G.D., Colman J.M., Armstrong S., Maganti M. Aortic valve preservation in patients with aortic root aneurysm: results of the reimplantation technique // Ann. Thorac. Surg. - 2007. - Vol. 83. - P. 732-735.
10.
11. Bentall H., De Bono A. A technique for complete replacement of the ascending aorta // Thorax. - 1968. - Vol. 23. - P. 338-339.
12.
13. David T.E., Feindel C.M. An aortic valve-sparing operation for patients with aortic incompetence and aneurysm of the ascending aorta // J. Thorac. Cardiovasc. Surg. - 1992. - Vol. 103. - P. 617-621.
14.
15. David T.E., Feindel C.M., Bos J. Repair of the aortic valve in patients with aortic insufficiency and aortic root aneurysm // J. Thorac. Cardiovasc. Surg. - 1995. - Vol. 109. - P. 345-352.
16.
17. Hopkins R.A. Aortic valve leaflet sparing and salvage surgery: evolution of techniques for aortic root reconstruction // Eur. J. Cardiothorac. Surg. - 2003. - Vol. 24. - P. 886-897.
18.
19. Sarsam M.A., Yacoub M. Remodeling of the aortic valve annulus // J. Thorac. Cardiovasc. Surg. - 1993. - Vol. 105. - P. 435-438.
20.
21. David T.E., Armstrong S., Ivanov J., Feindel C.M., Omran A., Webb G. Results of aortic valve-sparing operations // J. Thorac. Cardiovasc. Surg. - 2001. - Vol. 122. - P. 39-46.
22.
23. David T.E. Aortic valve sparing operations // Ann. Thorac. Surg. - 2002. - Vol. 73. - P. 1029-1030.
24.
25. Morishita K., Murakami G., Koshino T., Fukada J., Fujisawa Y., Mawatari T. et al. Aortic root remodeling: how do we tailor a tube graft? // Ann. Thorac. Surg. - 2002. - Vol. 73. - P. 1117-1121.
26.
27. Pethig K., Milz A., Hagl C., Harringer W., Havirich A. Aortic valve reimplantation in ascending aortic aneurysm. Risk factors for early valve failure // Ann. Thorac. Surg. - 2002. - Vol. 73. - P. 29-33.
28.
29. Kallenbach K., Karck M., Pak D., Salcher R., Khaladj N., Leyh R. et al. Decade of aortic valve sparing reimplantation: are we pushing the limits too far // Circulation. - 2005. - Vol. 112. - P. 253-259.
30.
Review
For citations:
Uspenskiy V., Sukhova I.V., Gordeev M.L. Approaches to aortic valve preservation in patients with aortic root an-eurysms and aortic insufficiency: the David procedure. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2009;15(2):142-145. (In Russ.) https://doi.org/10.18705/1607-419X-2009-15-2-142-145
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