A Technique to Facilitate the Native Valve Reimplantation During the David Procedure

Arid, Jean-Marc El; Azzaoui, Richard; Koussa, Mohamed; Modine, Thomas

doi:10.1111/jocs.12311

Cited by 2 publications

(6 citation statements)

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“…11 To simplify the standard David operation, years ago we proposed a new technique. 2 In this study, we compared early clinical outcomes of two reimplantation techniques: SDT and SVST. The objective was to evaluate the feasibility of SVST to provide surgeons with more data to make the choice in selecting the most appropriate surgical approach for patients.…”

Section: Resultsmentioning

confidence: 99%

“…The surgical protocol applied in Lille University Hospital has been previously described in detail 2 . Here we propose a short explanation of the procedure.…”

Section: Methodsmentioning

confidence: 99%

“…The surgical protocol applied in Lille University Hospital has been previously described in detail. 2 Here we propose a short explanation of the procedure. The Dacron graft is fixed by knotting the threads on the outside of the graft.…”

Section: Simplified Valve-sparing Techniquementioning

confidence: 99%

“…In this context, we have previously described a modified valve‐sparing technique using a single inflow suture line 2 to simplify the surgical aspects in maintaining the original concept of this operation. The objective of this study is to compare the surgical outcomes achieved with this technique with those of the standard David technique.…”

Section: Introductionmentioning

confidence: 99%

“…In this context, we have previously described a modified valvesparing technique using a single inflow suture line 2 to simplify the surgical aspects in maintaining the original concept of this operation.…”

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confidence: 99%

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Preliminary results of a simplified aortic valve‐sparing technique: A feasibility study

Modine

Piperata

Coisne³

et al. 2022

Journal of Cardiac Surgery

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Background and Aim of the Study: To evaluate whether the simplified valve-sparing technique (SVST) implies clinical outcomes comparable or not with those of established David technique in the surgery of aortic root. Methods: We collected the records of patients who had undergone aortic root surgery with the SVST or standard David technique (SDT) at our institution between January 2009 and December 2018. The primary endpoints were the incidence of allcause death, reoperation for any reason, and postoperative complications. The secondary endpoint was the midterm incidence of reoperation for aortic valve regurgitation.Results: A total of 169 patients who underwent aortic root surgery were analyzed.SDT and SVST were performed in 48 (28.4%) and in 121 (71.6%) patients, respectively. Thirty-day mortality occurred in 0% and 0.8% of patients in the SDT and SVST groups, respectively. The rate of postoperative new permanent pacemaker implantation was 6.3% (three patients) and 0.8% (one patient) in SDT and SVST cohort, respectively (p = .07). The incidence of postoperative thromboembolic stroke was 6.3% and 2.5% in SDT and SVST groups, respectively (p = .23). The median follow-up time was 29 (23-47) months. During the FU period, no differences were found between two cohorts in terms of all-cause mortality (p = .99), the incidence of reoperation (p = .19), and incidence of aortic valve regurgitation requiring reoperation (p = .58). Conclusions:The SVST appears to be safe and feasible showing early clinical results comparable to the SDT. Nevertheless, further studies with larger series and longterm follow-ups are required to demonstrate its safety and efficacy.

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Section: Resultsmentioning

confidence: 99%

“…The surgical protocol applied in Lille University Hospital has been previously described in detail 2 . Here we propose a short explanation of the procedure.…”

Section: Methodsmentioning

confidence: 99%

Section: Simplified Valve-sparing Techniquementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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