What is the David v procedure?

The David Procedure (also known as valve-sparing aortic root replacement) is a specialized procedure for aortic root aneurysms. The aortic root is special in that it contains both the aortic valve, as well as the origins of the coronary arteries.

Is the David procedure open heart surgery?

The Surgical Approach Of The David Proceure Small pieces of tissue are removed from the coronary ostia, or openings. The ascending aorta is then removed. A graft is sutured in place, to which the valve can then be attached. The surgeon makes any customizations needed and the coronary arteries are reattached.

What is the frozen elephant trunk technique?

A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows combined lesions of the thoracic aorta to be treated in a 1-stage procedure combining endovascular treatment with conventional surgery using a hybrid prosthesis.

How long does an aortic root graft last?

The function of the aortic valve implanted inside a tubular Dacron graft remains normal at 15 years in most patients after this type of aortic valve–sparing operation.

What are the complications of aortic valve replacement surgery?

Potential risks associated with aortic valve repair and aortic valve replacement surgery may include:

  • Bleeding.
  • Blood clots.
  • Problem or failure of a replacement valve.
  • Heart rhythm problems (arrhythmias)
  • Infection.
  • Stroke.
  • Death.

How risky is aortic root replacement?

An aortic valve replacement is a major operation and occasionally the complications can be fatal. Overall, the risk of dying as a result of the procedure is estimated to be 2%. But this risk is far lower than the risk associated with leaving severe aortic disease untreated.

What is a tevar procedure?

Thoracic endovascular aortic repair (TEVAR) is a procedure to treat an aneurysm in the upper part of your aorta. The aorta is your body’s largest artery. An aneurysm is a weak, bulging area in the aorta wall. If it bursts (ruptures), it can be deadly. TEVAR is a minimally invasive surgery.