Modified David Operation: A New Simple Method Using a Single Inflow Suture Line

  • Thomas Modine
  • Augustin Coisne
  • François Pontana
  • Khalil Fattouch
  • Patrizio Lancellotti
  • Ibrahim el Qudimat
  • David Montaigne
Chapter

Abstract

The reimplantation technique for valve sparing aortic root replacement is increasingly used to treat aortic root enlargement. The systematic approach described by El Khoury in 2009 and modified in 2011 using the valsava graft (Gelweave valsalva, Sultzer, Vaskutek, renfrewshire, Scotland) is simple and reproducible. However, in-conduit suturing of the aortic valve annulus and small rim of sinus remnant to the graft sinuses is time consuming and may lead to bleeding, or distorsion of the native valve in the prosthetic root. We describe a simple technique to facilitate the native valve reimplantation. A reproducible, easy to achieve single inflow suture line is used allowing avoiding the continuous suture of the native valve used in all valve sparing surgical techniques.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Thomas Modine
    • 1
  • Augustin Coisne
    • 2
    • 3
    • 4
    • 5
    • 6
  • François Pontana
    • 1
  • Khalil Fattouch
    • 7
  • Patrizio Lancellotti
    • 8
    • 9
  • Ibrahim el Qudimat
    • 1
  • David Montaigne
    • 2
    • 3
    • 4
    • 5
    • 6
  1. 1.Department of Cardiovascular SurgeryCHU LilleLille CedexFrance
  2. 2.Department of Clinical Physiology and Echocardiography—Heart Valve ClinicCHU LilleLille CedexFrance
  3. 3.European Genomic Institute for Diabetes (E.G.I.D)LilleFrance
  4. 4.Univ LilleLilleFrance
  5. 5.Inserm UMR 1011LilleFrance
  6. 6.Institut Pasteur de LilleLilleFrance
  7. 7.GVM Care and Research, Cardiovascular DepartmentMaria Eleonora HospitalPalermoItaly
  8. 8.Department of CardiologyUniversity of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU Sart TilmanLiègeBelgium
  9. 9.GVM Care and Research, E.S. Health Science FoundationLugoItaly

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