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January 9, 2024Cardiac Surgery and Interventional CardiologyOpen Access

The David procedure resulted in a significantly shorter total hospital stay (17.3 days) compared to the Bentall procedure (23.7 days, p=0.01) in patients with aneurysms of the root and ascending aorta.

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Why the study?

To compare the results of the David and Bentall operations in patients with aneurysms of the root and ascending aorta.

Does the David procedure improve early postoperative clinical results compared to the Bentall procedure in patients with aneurysms of the root and ascending aorta?

Population

85 patients undergoing planned and urgent surgery for root and ascending aorta aneurysms

Comparison

David procedure vs Bentall procedure

Design

Single-centre study

Key result

The David procedure resulted in a significantly shorter total hospital stay (17.3 days) compared to the Bentall procedure (23.7 days, p=0.01) in patients with aneurysms of the root and ascending aorta.

Authors

OZO.V. ZelenchukBТB. М. ТоdurovISI.O. Stetsiuk

Discussion

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Overview

Supports valve-sparing approach for shorter stay in aortic aneurysms; leaves open need for randomized confirmation before practice change.

Study Design

Type

Cohort (n=85)

Multicenter

No

Structured PICO

Does the David procedure improve early postoperative clinical results compared to the Bentall procedure in patients with aneurysms of the root and ascending aorta?

P
Population
85 patients with aneurysms of the root and ascending aorta who underwent planned or urgent surgical treatment (Bentall or David procedure) at a single center.
I
Intervention
David procedure (valve-sparing operation)
C
Comparator
Bentall procedure
O
Outcome
Early postoperative clinical results including length of hospital stay, duration of artificial blood circulation, time of aortic clamping, duration of artificial lung ventilation, and stay in the intensive care unitsurrogate

Main Result

Absolute Event Rate: 17.3% vs 23.7%

p-value: p=0.01

The David procedure is as safe as the Bentall procedure for ascending and aortic root aneurysms, offering a shorter hospital stay and significant improvement in aortic valve insufficiency.

Limitations

  • Retrospective design
  • Single-center study
  • Small sample size
  • Lack of long-term follow-up

Cite This Study

Zelenchuk et al. (2024) conducted a cohort in Aneurysm of the root and ascending aorta (n=85). David procedure vs. Bentall procedure was evaluated on Total length of hospital stay (days) (p=0.01). The David procedure resulted in a significantly shorter total hospital stay (17.3 days) compared to the Bentall procedure (23.7 days, p=0.01) in patients with aneurysms of the root and ascending aorta.

synapsesocial.com/papers/6aa63a0cc34c6f6bfa64d301https://doi.org/10.31928/2305-3127-2023.3-4.2329
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Also Consider

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

  1. 1Short- and long-term outcomes of david versus bentall procedures in acute type a aortic dissection: a meta-analysis with reconstructed individual patient data for time-to-event analysis2026
  2. 2Aortic root operation for aortic aneurysm: Valve replacement versus valve sparing procedures2018 · 1 citations
  3. 3Valve-sparing aortic root reimplantation versus aortic root replacement in bicuspid aortic valve with aortic root aneurysm: a systematic review and meta-analysis2025
  4. 4The David Versus the Bentall Procedure for Acute Type A Aortic Dissection2024 · 5 citations
  5. 5The David Operation Offers Shorter Hemostasis Time Than the Bentall in Case of Acute Aortic Dissection Type A2022 · 2 citations