Late outcomes of reimplantation of the aortic valve.

In this issue of The Annals of Thoracic Surgery, Manganiello and associates 1 Manganiello S. Soquet J. Mugnier A. et al. David procedure: a 21-year experience with 300 patients. Ann Thorac Surg. 2023; 115: 1403-1410 Abstract Full Text Full Text PDF Scopus (1) Google Scholar from Lille, France, describe their experience with reimplantation of the aortic valve in a cohort of 300 patients operated on during a period of 20 years and observed for a mean of 7 years. The completeness of clinical follow-up was high at more than 98%, but periodic assessment of aortic valve function by echocardiography was only 60% at 10 years and less than 50% at 15 years. Based on these data, they identified preoperative aortic insufficiency (AI) and dilated aortic annulus as being associated with risk for development of AI over time. They concluded that “the David procedure provides excellent outcomes in selected patients.” Overall, their results were very good. David Procedure: A 21-year Experience With 300 PatientsThe Annals of Thoracic SurgeryVol. 115Issue 6PreviewValve-sparing aortic root replacement with the David procedure is an alternative to the Bentall procedure in patients with aortic root aneurysm. The aim of this study was to describe our long-term experience with this technique and the predictive factors of late failure. Full-Text PDF