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November 27, 2018Journal of the Egyptian Society of Cardio-Thoracic SurgeryOpen Access

Aortic valve sparing shows identical 30-day mortality versus aortic root replacement for aortic root aneurysms.

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Why the study?

Aortic root replacement (Bentall operation) and aortic valve sparing (David operation) are alternative surgical techniques for treating aortic root aneurysm, prompting a comparison of 30-day mortality, postoperative care, and complications.

Does aortic valve sparing (David operation) compared to aortic root replacement (Bentall operation) improve 30-day mortality and complications in patients with aortic root aneurysm?

Population

45 consecutive patients undergoing surgery for aortic root aneurysm

Comparison

Bentall operation vs David operation

Design

Observational study

Follow-up

30 days

Key result

Aortic root replacement (Bentall operation) and aortic valve sparing (David operation) for aortic root aneurysm resulted in identical 30-day mortality rates (6.7% in both groups).

Authors

YRYousry El-Saied RizkIKIbrahim KasabMGMahmoud Mohammed Ghalwash

Discussion

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Member takes

Overview

Comparable short-term mortality supports either procedure in selected patients; leaves open long-term durability and complication comparisons.

Study Design

Type

Observational (n=45)

Structured PICO

Does aortic valve sparing (David operation) compared to aortic root replacement (Bentall operation) improve 30-day mortality and complications in patients with aortic root aneurysm?

P
Population
45 consecutive patients (mean age 43.2 years, 11.1% female) undergoing either Bentall or David operation for aortic root aneurysm, evaluated for 30-day mortality.
E
Exposure
Aortic valve sparing (David operation)
C
Comparator
Aortic root replacement (Bentall operation)
O
Outcome
30-days mortality, post-operative care and complicationshard clinical

Main Result

Absolute Event Rate: 6.7% vs 6.7%

Both Bentall and David operations are valid alternatives for aortic root aneurysm with comparable 30-day mortality, though the David procedure may be associated with more residual aortic regurgitation during the learning curve.

Limitations

  • early learning curve for David operation

Cite This Study

Rizk et al. (2018) conducted an observational in Aortic root aneurysm (n=45). Aortic root replacement (Bentall operation) vs. Aortic valve sparing (David operation) was evaluated on 30-day mortality. Aortic root replacement (Bentall operation) and aortic valve sparing (David operation) for aortic root aneurysm resulted in identical 30-day mortality rates (6.7% in both groups).

synapsesocial.com/papers/6aa63a0cc34c6f6bfa64d30fhttps://doi.org/10.1016/j.jescts.2018.11.007
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Also Consider

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

  1. 1Valve-sparing aortic root reimplantation versus aortic root replacement in bicuspid aortic valve with aortic root aneurysm: a systematic review and meta-analysis2025
  2. 2Surgical Management of Aortic Root Dilatation with Advanced Aortic Regurgitation: Bentall Operation versus Valve-sparing Procedure2012 · 22 citations
  3. 3Repair of aortic root in patients with aneurysm or dissection: comparing the outcomes of valvesparing root replacement with those from the Bentall procedure2013 · 18 citations
  4. 4The effectiveness of David procedure for aneurysm of the root and ascending part of the aorta2024 · 2 citations
  5. 5Three-year results from the surgical treatment of diseases of the aortic valve and aortic root2013 · 1 citations