What are the advantages of valve-sparing aortic root replacement?


The David procedure (valve-sparing aortic valve repair) is heart surgery to treat an enlarged aortic root wall (aortic aneurysm). During this surgery, your aortic root is changed, but your aortic valve stays the same. 

Compared to traditional surgery, the David procedure has a lower chance of problems and a faster recovery. It may take up to six months for things to get better. This article will give information about valve-sparing aortic root replacement and its benefits.

What is referred to as valve-sparing root replacement?

A valve-sparing aortic root replacement is a type of heart surgery that replaces the main artery that carries oxygen-rich blood from your heart to the rest of your body (aorta).

The aortic root is the part of your aorta that connects to your heart. This part has a one-way valve made of flaps of tissue that open and close to let oxygen-rich blood flow from your heart to the rest of your body (aortic valve). 

When your valve is healthy, but something is wrong with your aorta, your doctor will do this surgery, (such as if it is too big, an aneurysm). In valve-sparing aortic root replacement, your aortic root is replaced, but your aortic valve stays the same.

Traditional aortic root replacement surgery replaces your aortic valve with a new one. Keeping your aortic valve can reduce the number of surgeries you need over time and keep you from needing blood thinners. Consult, the best aortic valve replacement surgeons if you are looking to undergo valve replacement treatment.


The David procedure is another name for aortic root replacement that saves the valve.

For what conditions is the valve-sparing aortic root replacement recommended?

The David procedure fixes a bulging or swelling of your aortic root wall that isn’t normal (aortic root aneurysm). A leaky heart valve may or may not be part of an aortic root aneurysm (aortic insufficiency or aortic regurgitation).

Valve-sparing aortic root replacement is also used to stop:

  • The aortic root aneurysm bursts.
  • aorta has a tear in its lining

The procedure involved in the valve-sparing aortic root replacement:

You should wear comfortable clothes on the day of the valve-sparing aortic valve repair. During the process, you’ll need to wear a hospital gown.

Before the surgery, you might get the following:

  • You get fluids and medicines through an IV line in your arm.
  • A medication to relax.
  • Medication to help you sleep is given through an IV.

The procedure involves:

  • Your doctor will make one major incision across your chest.
  • The cardiopulmonary bypass connects your heart to a machine that helps you breathe and pumps blood around your body.
  • Cold fluid is injected into your heart, thereby stopping it.
  • The surgeon clamps the aorta.
  • An operation in which the swollen ascending aorta and a portion of the aortic root are removed, and the coronary arteries are isolated.
  • The inflated aorta is surgically removed, and a synthetic tube (transplant) is positioned over the patient’s healthy aortic valve before being attached to the patient’s heart.
  • After the synthetic tube graft has been placed, the valve is reimplanted. With this graft, the enlarged aortic root is replaced.
  • They will reconnect the coronary arteries to the transplant.
  • In this case, your surgeon will ensure that the valve functions properly to allow blood to flow freely. When that happens, the heart-lung machine is turned off.
  • When they’re done, they use surgical staples or stitches to heal the wounds.

What are the advantages of valve-sparing aortic root replacement?

Valve-sparing aortic root transplants have many benefits.

  • Highly successful in the long term with very high survival rates.
  • Fewer cases of thromboembolism and other blood-related problems.
  • Surgical replacement of artificial valves is not required in the future.
  • You can stop using blood thinners permanently.

Understanding the recovery time after valve-sparing aortic root replacement:

A valve-sparing aortic root replacement can take four to six months to heal fully, but most people can return to work after about two months. Try not to lift anything that might hurt you for at least six weeks, and don’t do anything too hard for at least three months. Getting enough sleep and taking short walks every day can help you feel better. Reach out to the best hospital for aortic valve replacement surgery to ensure you get the best.

Your doctor may also suggest that you go to cardiac rehab.

Cardiovascular rehabilitation involves learning how to:

  • Exercising.
  • Healthy eating.
  • Maintaining a healthy weight.
  • Managing stress.
  • Taking your medications

Outlook the condition:

In the David procedure, a damaged aortic root is replaced while the patient’s aortic valve stays in place. Surgeons use this aortic root surgery to fix an aortic root wall swollen or bulging (aortic root aneurysm). 

A valve-sparing aortic root replacement can also stop aneurysms from bursting and the inner wall of your aorta from tearing. About six weeks after surgery, you can usually go back to work and drive again, but it may take four to six months to recover fully.