Valve-Sparing Aortic Root Replacement Can Be Done Safely and Effectively in Acute Type A Aortic Dissection

As one of the most challenging medical emergencies, acute Type A aortic dissection (ATAAD) is associated with increased mortality even when recognized and treated early. This article from Zara Khachatryan, et. al—recently opened to nonsubscribers—describes the benefits of using valve-sparing aortic root replacement, or the David procedure, in patients with ATAAD. The authors found that, especially in younger patients and those with connective tissue disorders, the David procedure is associated with good preoperative safety and long-term efficacy. When performed effectively by experienced surgeons, valve-sparing aortic root replacement has become a desirable option in treating ATAAD in properly selected patients.