Valve-Sparing Aortic Root Replacement as First-Choice Strategy in Acute Type a Aortic Dissection.

Although a focused analysis on postoperative bleeding could not be included in this study, the impression of enhanced hemostasis with the David procedure as compared to the non-David procedures is supported by a clear trend to reduced incidence of re-thoracotomy due to bleeding in the performed analysis (14.3 vs. 3.5%), which has also been seen in other comparable studies ( 8 ).

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