Abstract
An: 2019, Nr.1, Articol Nr. 7
Title: 

SURGICAL APPROACH OF AORTIC ROOT DISEASES – THE ROLE OF THE DAVID TECHNIQUE

Authors: 

      Lacramioara Perianu - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; “Sf. Spiridon” Emergency Clinical Hospital, Iasi
      Alexandra Cristina Rusu - University of Medicine and Pharmacy, Targu Mures
      Ana Maria Haliciu, Gabriela Dumachita Sargu - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; “Elena Doamna” Obstetrics and Gynecology Clinical Hospital Iasi
      V.M. Burduloi - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; C.F. Clinical Hospital, Iasi
      Gr. Tinica - “Grigore T. Popa” University of Medicine and Pharmacy, Iasi; “Prof. Dr. George I.M. Georgescu” Cardiovascular Diseases Institute, Iasi
      SURGICAL APPROACH OF AORTIC ROOT DISEASES - THE ROLE OF THE DAVID TECHNIQUE (Abstract): Aortic valve repair surgery is indicated in cases with ascending aortic dilatation due to aneurysm and aortic dissection associated with aortic regurgitation in the setting of normal tricuspid flexible valves. Preservation of the native aortic valve obviates the need of lifetime anticoagulation, the risk of prosthetic valve degeneration and ensures normal haemodynamic conditions. Several techniques are currently in use as the procedure is not standardized. The aims of the current paper are to review the clinical anatomy of the aortic root, analyse the morphological changes induced by aortic diseases, compare the indications, surgical technique, short and long-term outcome of various valve-sparing procedures emphasizing the role of the reimplantation technique introduced by Tirone David.
Key words: AORTIC ROOT DISEASE, ASCENDING AORTA DILATATION, VALVE SPARING PROCEDURES, DAVID TECHNIQUE
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