Abstract
The insertion of a cryopreserved aortic homograft valve by the mini-root or inclusion cylinder technique is used less frequently than either the scalloped free-hand technique or the total root replacement. Indications for the use of the mini-root or cylinder inclusion technique are relatively infrequent. This procedure is a compromise between the scalloped technique and the root technique and is, therefore, useful in patients who have an aortic root that measures 27 mm to 31 mm in diameter and, thus, would be a bit large for the scallop technique. The mini-root is also somewhat helpful in the moderately distorted aortic root. It has the advantage of an inclusion technique, and therefore, bleeding from the root after insertion is not seen. In some situations, the mini-root inclusion technique may solve problems of distortion, enlarged or bulbous sinuses of Valsalva, or small root abscesses.
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