Surgical dilemma – spare or replace regurgitant aortic valve: Late comparative outcomes of two strategies

Dainius Karčiauskas; Viktorija Zieniute; Povilas Jakuška; Eglė Ereminienė; Šarūnas Kinduris; Irena Nedzelskienė; Rūta Dirsienė; Monika Biesevičienė; Rimantas Benetis

doi:10.1177/02676591221080512

March 26, 2022Perfusion

Surgical dilemma – spare or replace regurgitant aortic valve: Late comparative outcomes of two strategies

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Why the study?

Does the valve-sparing David procedure improve survival and reduce bleeding compared to the valve-replacing Bentall procedure in patients with regurgitant aortic valve?

Key Points

To compare late clinical outcomes between valve-sparing (David procedure) and valve-replacing (Bentall procedure) techniques in patients undergoing aortic valve and root surgery.
Evaluated outcomes in selected patients undergoing either the valve-sparing David procedure or the valve-replacing Bentall procedure.
Assessed long-term clinical performance, survival, bleeding risk, and reoperation rates over 10 years of follow-up.
Both surgical strategies showed equivalent safety and efficacy in selected patients.
The David procedure resulted in significantly improved survival and a lower risk of bleeding compared with the Bentall procedure at 10 years of follow-up.
Patients receiving the David procedure had an acceptable risk of reoperation at 10 years.

Structured PICO

Does the valve-sparing David procedure improve survival and reduce bleeding compared to the valve-replacing Bentall procedure in patients with regurgitant aortic valve?

P

Population

Selected patients with regurgitant aortic valve requiring aortic valve and root surgery

I

Intervention

Valve-sparing aortic root replacement (David procedure)

C

Comparator

Valve-replacing aortic root replacement (Bentall procedure)

O

Outcome

Survival, bleeding risk, and reoperation risk at 10 years follow-uphard clinical

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Implication

The valve-sparing David procedure offers improved long-term survival and lower bleeding risk compared to the Bentall procedure for selected patients with regurgitant aortic valves.

Abstract

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Cite This Study

Karčiauskas et al. (2022) studied this question.

synapsesocial.com/papers/69d8eea617a1cc0598d18ded https://doi.org/10.1177/02676591221080512

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Surgical dilemma – spare or replace regurgitant aortic valve: Late comparative outcomes of two strategies

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Surgical dilemma – spare or replace regurgitant aortic valve: Late comparative outcomes of two strategies

Key Points

Structured PICO

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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