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December 20, 2013Scripta Scientifica MedicaOpen Access

Early (30-day) mortality was 0% after David's procedure compared to 10.5% after the Bentall-De Bono procedure.

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Why the study?

Does aortic valve-sparing surgery (David's technique) improve survival and reduce complications compared to the Bentall-De Bono procedure in patients with aortic valve and root pathology?

Population

53 patients with aortic valve and aortic root pathology, mean age 56, predominantly male. Treated at St…

Comparison

Aortic valve-sparing surgery using Tirone… vs Bentall-De Bono procedure (n=37)

Design

Cohort

Follow-up

mean 20 months (range 2 to 39 months)

Authors

MSM. SlavovDPDaniela PanayotovaYPYavor Peychev

Discussion

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Overview

Should not yet alter surgical choice between David's and Bentall; extends observational evidence but leaves open randomized confirmation of survival benefit.

Structured PICO

Does aortic valve-sparing surgery (David's technique) improve survival and reduce complications compared to the Bentall-De Bono procedure in patients with aortic valve and root pathology?

P
Population
53 patients with aortic valve and aortic root pathology (Stanford A aortic dissection, annuloaortic ectasia, or chronic aneurysm of the ascending aorta), mean age 56, predominantly male. Treated at St. Marina University Hospital of Varna, Bulgaria.
I
Intervention
Aortic valve-sparing surgery using Tirone David's technique (n=16)
C
Comparator
Bentall-De Bono procedure (n=37)
O
Outcome
Early (30-day) mortality and all-cause mortalityhard clinical

Aortic valve reimplantation (David's technique) provides excellent early survival and avoids the need for life-long anticoagulation compared to the Bentall-De Bono procedure, though it may require more frequent early re-exploration for residual regurgitation.

Cite This Study

Slavov et al. (2013) studied this question.

synapsesocial.com/papers/6a891410d5f4e697bb131fd0https://doi.org/10.14748/ssm.v45i4.234
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Mid-term follow-up of aortic root remodelling compared to Bentall operation2001 · 27 citations
  2. 2Long-term results after aortic valve-sparing operation (David I)2011 · 109 citations
  3. 3Aortic valve sparing operations: outcomes at 20 years.2013 · 43 citations
  4. 4Graft sizing for aortic valve sparing surgery.2013 · 20 citations
  5. 5Influence of higher valve gradient on long-term outcome after aortic valve repair.2013 · 29 citations