David-V Procedure Combined with Zone 2 Arch Replacement for Acute Stanford Type A Dissection.

Methodist Debakey Cardiovasc JSep 2, 2026 (epub)
Case ReportCardiothoracic SurgeryOpen access

István Gecse, Maria Guadalupe Lopez Trevino, Marcell Székely et al.

✦ AI-curated · Sources linked

Case in brief

A 52-year-old man presented with acute Stanford type A aortic dissection, extending from the aortic root to the iliac bifurcation, complicated by severe aortic insufficiency and right lower extremity malperfusion. He underwent emergent valve-sparing root replacement using the David technique, combined with zone 2 arch reconstruction. Postoperatively, he experienced transient vasoplegia but recovered well and was discharged on postoperative day 11.

Diagnostic / clinical pearl

This case demonstrates the successful application of valve-sparing root replacement combined with zone 2 arch reconstruction in acute aortic dissection, emphasizing the importance of preserving native valve function.

Source

PubMed · PMID 42699175Free full text on PubMed Central

Published in Methodist Debakey Cardiovasc J. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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