ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Mid-term results of aortic root repair using the reimplantation technique: our single-center experience
Ertan Demirdaş1, Utkan Sevük2, Kıvanç Atılgan1, Candan Haytural1, Oğuz Taşdemir1
1Department of Cardiovascular Surgery, Ankara Liv Hospital, Ankara, Turkey
2Department of Cardiovascular Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey
DOI : 10.5606/tgkdc.dergisi.2016.12422
Background: This study aims to report early and midterm results of valve-sparing aortic root replacement using the reimplantation technique.

Methods: A total of 54 consecutive patients (44 males, 10 females; mean age 58±12.3 years; range 26 to 80 years) who underwent valve-sparing aortic root replacement using the David-V technique performed by a single surgeon at a single center between January 2008 and June 2015 were retrospectively analyzed.

Results: The in-hospital mortality rate was %1.9. The median follow-up was 57.5 (range, 29.5 to 77) months. Two patients developed severe aortic insufficiency during the first year following surgery and underwent aortic valve replacement. Estimated survival rates were 96.2±0.03%, 96.2±0.03% and 96.2±0.03% at one, five, and seven years, respectively. Moderate to severe aortic insufficiency-free survival rates were 96.2±0.03%, 96.2±0.03% and 96.2±0.03% at one, five, and seven years, respectively. Survival rates free from valve related re-operation at one, five, and seven years were 96.2±0.03%, 96.2±0.03% and 96.2±0.03% respectively.

Conclusion: Our early and mid-term results of the valvesparing root reimplantation procedures for aortic root aneurysms are excellent.

Keywords : Aortic regurgitation; aortic root aneurysm; aortic root replacement; David`s reimplantation technique; Valve-sparing
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