Aortic valve preservation "David I Procedure"

Aortic valve preservation is a far superior operation compared to valve replacement. The patient's own valve is preserved and this obviates the use of anticoagulants and offers normal durability when compared with artificial valves. the David I procedure as it is known is applicable whenever the pathology is due to annular dilatation with relatively pliable leaflets as in annuloaortic ectasia, ascending aneurysms or dissection with annular disruption

Category:

Howto & Style

Tags:

• Aortic
• valve
• preservation
• David
• Procedure
• heart
• surgery
• annulo
• aortic
• ectasia
• aneurysm
• dissection

[yadeyrinii]

We viewers may ask what are the conditions one looks for in order to make the decision to preserve the patient's aorta as opposed to valve replacement?

[bassamakasheh]

Preservation of the patient's own valve is a decision made on the operating table if the leaflets are thin and pliable and the valve incompetance is due to dilatation of the root, the valve should be preserved so that the patient does not have to use anticoagulants, also the patient's own valve is much more durable than any commercial vallve prosthesis in current use worldwide.

[lialammas]

After the surgery did this patient have to use coumadin ?

and what causes calcification in that area? Thank you.

[dubedition1111]

did you cut his or her heart out?

[rastan83]

Thank you for this video!

This is EXACTLY the same prosedure I have undergone! Had an 9cm aneurysm, and this was replaced by a graft, and my valves were preserved. Amazing to see this work! Makes me feel lucky and leaves me in awe.

I'm only 25 years old, and used to be an athlete prior to this operation 25 of may this year. Back in training now, but afraid of training to hard...any thoughts? No connective tissue disorder has been diagnosed....but you never know?

[happilylil]

i love Levodyn, it's really great and no side effects. I am taking it and some aerobics and i am amazed by how effective it is.

[ddsharper]

My mother has AS and because it was ignored, developed HCM, described as concentric. Her valve area is about .7 now. She has preserved LV function, has a small cavity and preserved renal function. Who will perform this procedure on her at 77 y/o or do a percutaneous valve replacement in the USA? Are there great surgeons in Mexico performing this procedure and where are they if that is the case?

[sweetfrenzy27]

That was a wonderful video.

[yadeyrinii]

Thank you so much for your reply. I wonder if it might not be better to operate early in order to preserve the patient's valve and simply relieve the dilation of the root? From what I have read the condition of Aortic Stenosis is allowed to progress in most cases to the point where the valve fails and a replacement valve is needed.

[jkast]

is this the heart?