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

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Advances in Treatments for Aortic Valve and Root Diseases

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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Authors and Affiliations

  1. Department of Cardiovascular Surgery, CHU Lille, Lille Cedex, France

    Thomas Modine M.D., Ph.D., François Pontana M.D., Ph.D. & Ibrahim el Qudimat M.D.

  2. Department of Clinical Physiology and Echocardiography—Heart Valve Clinic, CHU Lille, Lille Cedex, France

    Augustin Coisne M.D. & David Montaigne M.D., Ph.D.

  3. European Genomic Institute for Diabetes (E.G.I.D), Lille, France

    Augustin Coisne M.D. & David Montaigne M.D., Ph.D.

  4. Univ Lille, Lille, France

    Augustin Coisne M.D. & David Montaigne M.D., Ph.D.

  5. Inserm UMR 1011, Lille, France

    Augustin Coisne M.D. & David Montaigne M.D., Ph.D.

  6. Institut Pasteur de Lille, Lille, France

    Augustin Coisne M.D. & David Montaigne M.D., Ph.D.

  7. GVM Care and Research, Cardiovascular Department, Maria Eleonora Hospital, Palermo, Italy

    Khalil Fattouch M.D.

  8. Department of Cardiology, University of Liège Hospital, GIGA Cardiovascular Sciences, Heart Valve Clinic, CHU Sart Tilman, Liège, Belgium

    Patrizio Lancellotti M.D., Ph.D.

  9. GVM Care and Research, E.S. Health Science Foundation, Lugo, RA, Italy

    Patrizio Lancellotti M.D., Ph.D.

Authors
  1. Thomas Modine M.D., Ph.D.
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  2. Augustin Coisne M.D.
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  3. François Pontana M.D., Ph.D.
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  4. Khalil Fattouch M.D.
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  5. Patrizio Lancellotti M.D., Ph.D.
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  6. Ibrahim el Qudimat M.D.
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  7. David Montaigne M.D., Ph.D.
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Corresponding author

Correspondence to Thomas Modine M.D., Ph.D. .

Editor information

Editors and Affiliations

  1. Department of Cardiothoracic and Vascular Surgery, GVM Care and Research, MEH, University of Palermo, Palermo, Italy

    Khalil Fattouch

  2. Department of Cardiology, University of Liège, Liège, Belgium

    Patrizio Lancellotti

  3. Marcus Heart Valve Center, Piedmont Heart Institute, Atlanta, GA, USA

    Mani A. Vannan

  4. Cardiovascular Surgery Department, GVM Care & Research, Anthea Hospital, Bari, Italy

    Giuseppe Speziale

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Modine, T. et al. (2018). Modified David Operation: A New Simple Method Using a Single Inflow Suture Line. In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_15

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  • DOI: https://doi.org/10.1007/978-3-319-66483-5_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-66482-8

  • Online ISBN: 978-3-319-66483-5

  • eBook Packages: MedicineMedicine (R0)

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