Gökhan ARSLANHAN, İbrahim GÖKÇE, Murat BAŞTOPÇU, Anıl KARAAĞAÇ, Zeynep Sıla ÖZCAN, Muharrem KOÇYİĞİT, Şahin ŞENAY, Cem ALHAN
Cardiovascular Surgery and Interventions - 2026;13(1):1-6
Objectives: Aortic valve-sparing root reimplantation (AVSRR) offers distinct advantages, particularly in younger patients with aortic root dilatation and aortic insufficiency (AI), when performed in experienced centers. This study aimed to evaluate the long-term clinical outcomes of AVSRR in a single-center cohort. Patients and methods: Sixty-one consecutive patients who underwent the David procedure at our center between 2010 and 2025 were analyzed. Preoperative demographics, operative data, and early postoperative and long-term outcomes were evaluated. Survival, freedom from severe AI, and freedom from reoperation at 1, 5, and 10 years were assessed using the Kaplan-Meier method. Results: In-hospital mortality was 1.6% (n=1); the patient died of multiorgan failure in the early postoperative period. The median follow-up duration was 65 months. Kaplan-Meier survival rates at 1 5, and 10 years were 98.4%. Freedom from severe AI was 96.5%, 90.0%, and 86.4%, while freedom from aortic valve-related reoperation was 98.4%, 91.3%, and 91.3% at 1, 5, and 10 years, respectively. Conclusion: David procedure has safe long-term outcomes with excellent survival and freedom from aortic valve-related reoperation rates. Experienced high-volume centers are important to achieve optimal results.
