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Eur J Cardiothorac Surg 2006;30:560-562
© 2006 Elsevier Science NL

How-to-do-it

A simple modification of ‘David-V’ aortic root reimplantation

Department of Cardiothoracic Surgery, Graduate School of Medicine, University of Tokyo, Tokyo, Japan

Received 6 April 2006; received in revised form 19 June 2006; accepted 19 June 2006.

^_* Corresponding author. Address: 113-8655, 7-3-1 Hongo, Bunkyo-ku, Tokyo, Japan. Tel.: +81 3 5800 8855; fax: +81 3 5800 8854. (Email: takamoto-tho{at}h.u-tokyo.ac.jp).

Valve-sparing aortic root reimplantation with creation of Dacron graft pseudosinuses is a popular and promising surgical choice for annuloaortic ectasia or ascending aortic aneurysm. We have developed a simple modification of the David-V technique, which facilitates free adjustment of the size of the new aortic annulus and the pseudosinus of each patient, as well as the creation of pseudosinuses of excellent shape, with only one Dacron graft.

Key Words: Aortic root • David procedure • Aortic surgery • Valve-sparing aortic root replacement • Reimplantation • Pseudosinus