Aortic valve reimplantation

The aortic valve-sparing reimplantation technique was originally developed by Dr Tirone David for patients with aortic valve incompetence and aneurysm of the ascending aorta. A 33-year-old male patient presented with acute DeBakey type 2 aortic dissection and severe acute aortic insufficiency. Ascending aortic replacement with aortic valve reimplantation (David I procedure) was performed. The excision of the coronary ostia, resection of aortic sinuses and mobilization of the aortic root was performed. Pledgeted mattress sutures of #2-0 braided polyester are passed below the aortic valve and inside to outside left ventricle outflow tract (LVOT) (intraoperative photograph).

Credit
Vladimir Uspenskiy

Dimensions
2920 x 3128 pixels

Print Size @ 300 dpi
10 x 10 inches / 25 x 26 cm