Abstract

The treatment of aortic root dilatation with a leaking valve requires a multimodal approach, including root reimplantation or remodeling with or without tailoring of the sinotubular junction and valvular apparatus. However, valve-sparing procedures are time-consuming, technically demanding, and associated with intraoperative bleeding. Here we report a novel reconstruction method for the treatment of annuloaortic ectasia with a leaking valve. In this method the dilated sinuses were excluded, and the annulus was effectively suspended by suturing a bovine pericardial patch inside the dilated aortic root.

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