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. 2022 Dec;19(4):243-248.
doi: 10.5114/kitp.2022.122096. Epub 2022 Dec 24.

Mini-David procedure. Procedural considerations

Jakub Staromłyński  1   2 , Mariusz Kowalewski  1   2 , Wojciech Sarnowski  1 , Radosław Smoczyński  1 , Anna Witkowska  1 , Maciej Bartczak  1 , Jakub Brączkowski  1 , Dominik Drobiński  1 , Piotr Suwalski  1
Affiliations

Mini-David procedure. Procedural considerations

Jakub Staromłyński et al. Kardiochir Torakochirurgia Pol. 2022 Dec.

Abstract

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.

Keywords: David procedure; V-shape ministernotomy; VSSR; minimally invasive surgery.

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Conflict of interest statement

The authors report no conflict of interest.

Figures

Figure 1
Figure 1
Computed tomography and 3D reconstruction
Figure 2
Figure 2
Transesophageal echocardiography
Figure 3
Figure 3
V-shape upper ministernotomy and central cannulation
Figure 4
Figure 4
Central cannulation. Aortic root aneurysm
Figure 5
Figure 5
Aortic root preparation
Figure 6
Figure 6
Aortic root reimplantation
Figure 7
Figure 7
Coronary ostia anastomosis
Figure 8
Figure 8
Next stages of upper mini V-shape sternotomy fixation
Figure 9
Figure 9
Postprocedural wound
See this image and copyright information in PMC

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