Long-term results and cusp dynamics after aortic valve resuspension for aortic root aneurysms.

Background: This study reports our 10-year experience with the David technique and technical modifications to create neosinuses.

Methods: From January 1996 to February 2009, the David procedure was performed in 151 consecutive patients in our department. Mean age was 59 ± 13 years (range, 22 to 78 years).

Modification of the David procedure for reconstruction of incompetent bicuspid aortic valves.

The David procedure was described primarily to treat tricuspid valves. The asymmetry of the bicuspid root asks for modifications to achieve a competent bicuspid valve. The most common feature of the bicuspid valve is the presence of left and right coronary rudimentary cusps.