{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T16:08:17Z","timestamp":1792080497913,"version":"4.4.0"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2022,2,28]],"date-time":"2022-02-28T00:00:00Z","timestamp":1646006400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>The aim of this study was to compare short- and longer-term outcomes of David (DV) versus Florida sleeve (FS) procedure in patients requiring valve-sparing aortic root replacement.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Between January 1996 and December 2020 285 patients received a DV procedure (median age 60 years; 26% females) and 57 patients underwent an FS procedure (median age 64 years; 19% females) in our department. Propensity score matching using patient characteristics led to 58 (DV) versus 57 (FS) patients. End points were defined as primary: freedom from aortic valve and\/or aortic root-related reoperation and freedom from aortic regurgitation \u2265moderate and secondary: early and late survival.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>Thirty-day mortality was 2% (DV) and 0% (FS) (P = 0.319). There was 1 early stroke in each group (P = 0.990). Follow-up was complete in 99% with only 1 patient (FS) lost. The 5- and 10-year freedom from aortic valve and\/or aortic root related reoperation was 98 \u00b1 2% and 96 \u00b1 3% in the DV group and 92 \u00b1 5% and 84 \u00b1 9% in the FS group, respectively (P = 0.095). The 5- and 10-year freedom from aortic regurgitation \u2265moderate was 88 \u00b1 5% and 80 \u00b1 8% in the DV group and 92 \u00b1 5% and 78 \u00b1 1% in the FS group, respectively (P = 0.782). The 5- and 10-year survival rates were 93 \u00b1 4% and 82 \u00b1 6% (DV) vs 75 \u00b1 7% and 67 \u00b1 10% (FS), respectively (P = 0.058). No case of endocarditis (DV) and 3 cases of endocarditis (FS) (P = 0.055) were observed during follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Both DV and FS resulted in similar early and longer-term outcomes with a trend to slightly better performance and survival in the DV group. Florida sleeve procedure might be an alternative approach for patients with higher-risk profiles requiring valve-sparing aortic root replacement.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezac104","type":"journal-article","created":{"date-parts":[[2022,1,31]],"date-time":"2022-01-31T20:11:29Z","timestamp":1643659889000},"source":"Crossref","is-referenced-by-count":13,"title":["Early- and longer-term outcomes of David versus Florida sleeve procedure: propensity-matched comparison"],"prefix":"10.1093","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2366-0880","authenticated-orcid":false,"given":"Tomas","family":"Holubec","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, University Hospital Frankfurt and Goethe University Frankfurt , Frankfurt, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiwad","family":"Rashid","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular 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