Valve-sparing aortic root replacement (also known as the David procedure) is a
cardiac surgery procedure which is used to treat
Aortic aneurysm
An aortic aneurysm is an enlargement (dilatation) of the aorta to greater than 1.5 times normal size. They usually cause no symptoms except when ruptured. Occasionally, there may be abdominal, back, or leg pain. The prevalence of abdominal aortic ...
s and to prevent
Aortic dissection.
It involves replacement of the
aortic root without replacement of the
aortic valve. Two similar procedures were developed, one by
Sir Magdi Yacoub
Sir Magdi Habib Yacoub ( ar, د/مجدى حبيب يعقوب ; born 16 November 1935), is an Egyptian retired professor of cardiothoracic surgery at Imperial College London, best known for his early work in repairing heart valves with surgeon ...
,
[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.] and another by
Tirone David.
Techniques
Re-modeling Technique
Established by
Sir Magdi Yacoub
Sir Magdi Habib Yacoub ( ar, د/مجدى حبيب يعقوب ; born 16 November 1935), is an Egyptian retired professor of cardiothoracic surgery at Imperial College London, best known for his early work in repairing heart valves with surgeon ...
.
Re-implantation Technique
Established by
Tirone David and
Christopher Feindel
Christopher is the English version of a Europe-wide name derived from the Greek name Χριστόφορος (''Christophoros'' or '' Christoforos''). The constituent parts are Χριστός (''Christós''), "Christ" or "Anointed", and φέρει� ...
at the
Toronto General Hospital.
See also
*
Aortic aneurysm
An aortic aneurysm is an enlargement (dilatation) of the aorta to greater than 1.5 times normal size. They usually cause no symptoms except when ruptured. Occasionally, there may be abdominal, back, or leg pain. The prevalence of abdominal aortic ...
*
Aortic dissection
*
Marfan syndrome
Marfan syndrome (MFS) is a multi-systemic genetic disorder that affects the connective tissue. Those with the condition tend to be tall and thin, with long arms, legs, fingers, and toes. They also typically have exceptionally flexible joints a ...
References
External links
Chapter 31: Aortic Valve Repair and Aortic Valve-Sparing Operationsby Tirone E. David in ''Cardiac Surgery in the Adult''
Cardiac surgery
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