The valve-sparing aortic root replacement: Results of the David I technique
The aim – to determine the long-term results and quality of life of patients who underwent David І valve-sparing operation. Materials and methods. The one-center study included 53 patients who underwent planned and urgent David I procedure (valve-sparing replacement of the aortic root and ascending...
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TOV Chetverta Khvylia
2024-04-01
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| Series: | Кардіохірургія та інтервенційна кардіологія |
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| Online Access: | https://www.cardiacsurgery.com.ua/index.php/CSIC/article/view/7 |
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| author | B. M. Todurov I. O. Stetsyuk O. V. Zelenchuk I. Yu. Mokryk L. R. Stetsiuk V. B. Demyanchuk N. V. Malova |
| author_facet | B. M. Todurov I. O. Stetsyuk O. V. Zelenchuk I. Yu. Mokryk L. R. Stetsiuk V. B. Demyanchuk N. V. Malova |
| author_sort | B. M. Todurov |
| collection | DOAJ |
| description |
The aim – to determine the long-term results and quality of life of patients who underwent David І valve-sparing operation.
Materials and methods. The one-center study included 53 patients who underwent planned and urgent David I procedure (valve-sparing replacement of the aortic root and ascending aorta) from 2015 to 2023. The mean age of the 53 patients (among them, 47 (88.68 %) males) was 49.11 ± 1.54 years. We analyzed basic characteristics of the patients, intraoperative and postoperative data. The quality of life was assessed before and in the long-term period after operations by the Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire.
Results and discussion. An average duration of the follow-up period was 2.59 ± 0.27 years ranging from 1.0 to 9.0 years. Overall in-hospital mortality and 30-day mortality was 1.89 % (n 1). Estimated 5-year survival rate was 95.7 ± 1.45 % for all patients. The average duration of the operations was 291.23 ± 12.67 minutes, the total duration of artificial blood circulation was 170.28 ± 8.77 minutes, aorta clamping time – 122.02 ± 5.92 minutes. The mean duration of stay in the hospital was 13.81 ± 0.54 days, intensive care unit – 2.94 ± 0.03 days. The number of patients extubated up to 8 hours after surgery was 48 patients (90.57 %). The performed operation significantly improved the indicators. Patients positively perceived the information about the absence of an artificial heart valve and need of concomitant use of anticoagulants. The patients had a good psycho-social component, which probably affected the assessment of other scales.
Conclusions. Patients after David I operation have a low overall in-hospital mortality and 30-day mortality, with a short period of time in intensive care unit and hospital at all. Long-term results in indicator of 5-year survival are excellent. The operation significantly improves quality of life parameters.
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| format | Article |
| id | doaj-art-16105386cdd947699a481448e861ed2f |
| institution | Kabale University |
| issn | 2305-3127 2664-3790 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | TOV Chetverta Khvylia |
| record_format | Article |
| series | Кардіохірургія та інтервенційна кардіологія |
| spelling | doaj-art-16105386cdd947699a481448e861ed2f2025-01-26T10:08:53ZengTOV Chetverta KhvyliaКардіохірургія та інтервенційна кардіологія2305-31272664-37902024-04-0113110.31928/2305-3127-2024.1.6267The valve-sparing aortic root replacement: Results of the David I techniqueB. M. Todurov0https://orcid.org/0009-0000-2047-4447I. O. Stetsyuk1https://orcid.org/0000-0002-1865-9976O. V. Zelenchuk2https://orcid.org/0000-0002-5677-9311I. Yu. Mokryk3https://orcid.org/0000-0002-1823-4767L. R. Stetsiuk4https://orcid.org/0009-0002-3286-4869V. B. Demyanchuk5https://orcid.org/0000-0001-6076-8685N. V. Malova6Heart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineShupyk National Healthcare University of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, UkraineHeart Institute of the Ministry of Health of Ukraine, Kyiv, Ukraine The aim – to determine the long-term results and quality of life of patients who underwent David І valve-sparing operation. Materials and methods. The one-center study included 53 patients who underwent planned and urgent David I procedure (valve-sparing replacement of the aortic root and ascending aorta) from 2015 to 2023. The mean age of the 53 patients (among them, 47 (88.68 %) males) was 49.11 ± 1.54 years. We analyzed basic characteristics of the patients, intraoperative and postoperative data. The quality of life was assessed before and in the long-term period after operations by the Medical Outcomes Study Short Form 36 (MOS SF-36) questionnaire. Results and discussion. An average duration of the follow-up period was 2.59 ± 0.27 years ranging from 1.0 to 9.0 years. Overall in-hospital mortality and 30-day mortality was 1.89 % (n 1). Estimated 5-year survival rate was 95.7 ± 1.45 % for all patients. The average duration of the operations was 291.23 ± 12.67 minutes, the total duration of artificial blood circulation was 170.28 ± 8.77 minutes, aorta clamping time – 122.02 ± 5.92 minutes. The mean duration of stay in the hospital was 13.81 ± 0.54 days, intensive care unit – 2.94 ± 0.03 days. The number of patients extubated up to 8 hours after surgery was 48 patients (90.57 %). The performed operation significantly improved the indicators. Patients positively perceived the information about the absence of an artificial heart valve and need of concomitant use of anticoagulants. The patients had a good psycho-social component, which probably affected the assessment of other scales. Conclusions. Patients after David I operation have a low overall in-hospital mortality and 30-day mortality, with a short period of time in intensive care unit and hospital at all. Long-term results in indicator of 5-year survival are excellent. The operation significantly improves quality of life parameters. https://www.cardiacsurgery.com.ua/index.php/CSIC/article/view/7quality of life, David operation, aortic valve, ascending aorta, aortic root aneurysm |
| spellingShingle | B. M. Todurov I. O. Stetsyuk O. V. Zelenchuk I. Yu. Mokryk L. R. Stetsiuk V. B. Demyanchuk N. V. Malova The valve-sparing aortic root replacement: Results of the David I technique Кардіохірургія та інтервенційна кардіологія quality of life, David operation, aortic valve, ascending aorta, aortic root aneurysm |
| title | The valve-sparing aortic root replacement: Results of the David I technique |
| title_full | The valve-sparing aortic root replacement: Results of the David I technique |
| title_fullStr | The valve-sparing aortic root replacement: Results of the David I technique |
| title_full_unstemmed | The valve-sparing aortic root replacement: Results of the David I technique |
| title_short | The valve-sparing aortic root replacement: Results of the David I technique |
| title_sort | valve sparing aortic root replacement results of the david i technique |
| topic | quality of life, David operation, aortic valve, ascending aorta, aortic root aneurysm |
| url | https://www.cardiacsurgery.com.ua/index.php/CSIC/article/view/7 |
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