Key result
Mini-David procedure via V-shaped ministernotomy offers a safe, feasible valve-sparing approach for aortic root aneurysms.
Why the study?
Minimally invasive valve sparing surgery for aortic root aneurysm with valve regurgitation offers reduced perioperative trauma and faster recovery compared to traditional mechanical conduit implantation.
Describes the surgical technique for minimally invasive aortic root aneurysm surgery with valve preservation (David procedure).
The main goal of minimally invasive surgery is to reduce the perioperative trauma, accelerate patient mobilization and reduce the length of hospital stay. Due to the development of modern technology, these treatments can be offered to a wider group of patients. For many years, aortic root surgery consisted of mechanical conduit implantation and, therefore, necessitated life-long anticoagulation. At present, in patients with aortic root aneurysm and significant aortic valve regurgitation, it is possible to perform minimal-access valve sparing surgical procedures. The current paper is a brief description of the surgical technique for aortic root aneurysm surgery with preservation of the patient's own valve using the David procedure.
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Staromłyński et al. (2022) conducted a review in Aortic root aneurysm with significant aortic valve regurgitation. Mini-David procedure (valve sparing root replacement via V-shape ministernotomy) was evaluated. The Mini-David procedure via a V-shaped ministernotomy is a feasible and safe surgical technique for aortic root aneurysm surgery with preservation of the patient's own valve.
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