When the aorta is dilated, but the aortic valve is structurally otherwise normal, the aorta can be replaced ("root replacement") while preserving the aortic valve ("valve sparing"). This avoids the need for a valve replacement with an artificial valve. Thus offering the possibility for a more durable repair, as well as avoiding the potential need for blood thinning medication.
This approach also known as the David Procedure is a significant advance in aortic surgery. It is a highly advanced technique that requires special expertise and equipment. It should only be performed by experienced centers on well-selected patients.
Valve Sparing Aortic Root Procedure
Severe aortic insufficiency of echocardiogram
Axillary Cannulation for use in antegrade cerebrel perfusion
Collagen-coated, polyester graft for replacing the aorta