Twenty-year follow-up after valve-sparing aortic root replacement with the Yacoub or David procedure in Marfan patients

Abstract

The pursuit of the best valve-sparing treatment strategy for aortic root disease in patients with Marfan syndrome has been the subject of intense debate over the past few decades. Two surgical approaches are commonly employed and are known as the remodeling (ie, Yacoub) or reimplantation (ie, David) technique.1,2 During the mid-1990s, the topic was center stage at the American Association for Thoracic Surgery and other prominent surgical meetings. Sir Magdi Yacoub and Tirone David were advocating for their respective techniques, and each had contemporary proponents, which is the case to this day.

Topics & Concepts