A reimplantation valve-sparing root replacement (T. David-V) and aortic valve repair procedure in a patient with Marfan syndrome

Multimed Man Cardiothorac Surg. 2020 Dec 8:2020. doi: 10.1510/mmcts.2020.070.

Abstract

Valve-sparing aortic root replacement using the reimplantation technique (T. David-V operation) has become the gold standard in patients with annuloaortic ectasia, given that the aortic valve is morphologically intact or repairable. The benefits of preserving the native aortic valve extend beyond avoiding the inconvenience and complications of prolonged exposure to anticoagulants. This video tutorial provides a step-by-step guide to the T. David-V procedure in a male patient with Marfan syndrome, annuloaortic ectasia, and moderate-to-severe aortic regurgitation.

Keywords: Aortic regurgitation; Aortic root replacement; Aortic valve repair; David operation; Marfan; Reimplantation technique; Remodeling; VSRR.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aorta / pathology*
  • Aorta / surgery
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency* / etiology
  • Aortic Valve Insufficiency* / surgery
  • Cardiac Surgical Procedures / methods*
  • Dilatation, Pathologic / surgery
  • Humans
  • Male
  • Marfan Syndrome / complications*
  • Marfan Syndrome / surgery
  • Middle Aged
  • Organ Sparing Treatments
  • Replantation / methods
  • Treatment Outcome