PMID- 21632258 OWN - NLM STAT- MEDLINE DCOM- 20120501 LR - 20221207 IS - 1873-734X (Electronic) IS - 1010-7940 (Print) IS - 1010-7940 (Linking) VI - 41 IP - 1 DP - 2012 Jan TI - Long-term results after aortic valve-sparing operation (David I). PG - 56-61; discussion 61-2 LID - 10.1016/j.ejcts.2011.04.012 [doi] AB - OBJECTIVE: Aortic valve-sparing David procedure has gained broad acceptance. However, few long-term results have been published. We present our results. METHODS: More than 450 David procedures have been performed in our institution so far. Of these, 126 patients were operated between July 1993 and December 2000. Median age was 57 (8-83) years and 46 (36.5%) were female. As many as 26 (20.6%) had Marfan syndrome, 21 (16.7%) had acute aortic dissection type A (AADA) and 67 (53.2%) had additional procedures. RESULTS: There were six (4.8%) deaths in 30 post-operative period (POD), four of whom had AADA. In the follow-up, there were 32 (25.4%) late deaths, 11 (34.4%) of these were caused by cardiac or underlying disease or op-related. As many as 15 (11.9%) patients were re-operated; six (40%) were Marfan patients and two (13.3%) had early endocarditis. Follow-up echocardiography of 76 (60.3%) event-free patients showed valve insufficiency (AI)