A David Procedure in a special operation where the surgeon repairs the aortic root aneurysm, without replacing the aortic valve. The operation avoids the use of a mechanical valve, which requires life-long warfarin therapy and it also avoids the use of a tissue valve, which has limited durability. It is a preferred surgical option for younger patients with aortic root aneurysm and preserved aortic valve leaflets.

In this surgical video, Professor Tristan Yan demonstrated an Aortic Valve Sparing Root Replacement (David) Procedure, performed via a 5 cm access incision.

Video 1. A 48-year-old patient underwent the Mini-David Procedure for an aortic root aneurysm (58mm) and severe aortic regurgitation.

Attention to detail is the key to ensure an absolute hemostasis and achieve the best surgical outcome from a minimally invasive aortic surgery