Related Experiment Video
Updated: Jul 14, 2026
14:14
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
[Aortic valve preservation in Marfan syndrome. Initial experience].
Alberto Forteza1, Jose M Cortina, Violeta Sánchez
1Servicio de Cirugía Cardiaca, Hospital Universitario 12 de Octubre, Madrid, Spain. aforteza.hdoc@salud.madrid.org
Revista Espanola De Cardiologia
|May 31, 2007
Summary
The David reimplantation technique successfully preserved aortic valves in Marfan syndrome patients, avoiding anticoagulation and prosthesis complications. This aortic valve repair shows promising results for ascending aorta aneurysms.
Area of Science:
- Cardiovascular Surgery
- Thoracic Aortic Surgery
- Aortic Valve Repair
Context:
- Marfan syndrome frequently involves aortic root and ascending aorta aneurysms.
- Traditional Bentall-De Bono procedure necessitates mechanical prostheses and lifelong anticoagulation.
- Aortic valve preservation techniques aim to avoid anticoagulation-related complications.
Purpose:
- To evaluate the initial experience and outcomes of the David aortic valve reimplantation technique.
- To assess the efficacy and safety of aortic valve preservation in Marfan syndrome patients.
- To compare valve reimplantation with standard aortic root replacement procedures.
Summary:
- Forty patients with aortic root aneurysms underwent the David reimplantation technique; 18 had Marfan syndrome.
- Aortic valve preservation was achieved in 17 patients, with no in-hospital mortality or major complications.
- Follow-up showed no significant aortic regurgitation and excellent functional status, avoiding anticoagulation.
Impact:
- The David technique offers a viable alternative to mechanical prostheses for aortic root aneurysms in Marfan syndrome.
- Successful aortic valve preservation eliminates the need for long-term anticoagulation and associated risks.
- This approach may become the preferred treatment for ascending aorta aneurysms in affected patients if long-term durability is confirmed.
More Related Videos
Related Concept Videos
01:26Mitral Stenosis III: Medical Management
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
01:22Mitral Stenosis I: Introduction
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
01:27Mitral Valve Prolapse I: Introduction
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:15Aortic Regurgitation I: Introduction
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...