Valve-sparing Aortic Root Replacement

Advanced Surgical Procedure to Prevent and Treat Aortic Disorders

A valve-sparing aortic root replacement, also called the David procedure, is one of the many advanced surgical procedures performed by the highly skilled cardiac surgeons at Loyola Medicine. 
 
Your aortic root, which includes the aortic valve, is the part of your aorta that is connected to your heart. If your artery wall develops a bulge (aneurysm) it must be corrected in order to prevent life-threatening conditions such as aortic aneurysm or aortic tear.
 
Valve-sparing aortic root replacement involves replacing your diseased heart root without having to replace your aortic valve, thereby avoiding the need to take Coumadin (a blood thinner) following surgery and experiencing complications that can arise from having an artificial valve.

Loyola’s multidisciplinary team of cardiologists and surgeons are skilled at evaluating each specific case and determining whether valve-sparing aortic root replacement is right for you.

Why Choose Loyola for Valve-sparing Aortic Root Replacement?

Loyola’s cardiology and heart surgery program is ranked 27th in the country by U.S. News & World Report.

What to Expect with a Valve-sparing Aortic Root Replacement

Valve-sparing aortic root replacement (VSARR) is an open surgery whereby your cardiac surgeon makes an incision in your chest and opens your breastbone to expose your heart. Your surgeon will rely on a heart-lung machine to function as your heart while the aorta is cut just above the coronary ostia (opening) and the aortic graft is attached to your own aortic valve. This artificial tube works with your existing valve to bypass the damaged aortic root.

Valve-sparing aortic root replacement is used to treat aortic aneurysms and to prevent aortic dissection. It has been shown to reduce the risk of endocarditis and stroke and also provides successful treatment of connective tissue disorders such as Marfan syndrome.

What Are Your Risks with Valve-sparing Aortic Root Replacement?

Doctors at Loyola approach the valve-sparing aortic root replacement procedure with great detail and care. As with any open surgery, there are risks that may include: