Invited Commentary

Abstract

Reconstruction and repair of proximal aortic root pathologies continues to evolve. The original Bentall technique involved direct reimplantation of the coronary arteries and was later modified by mobilization of each coronary ostium for direct ostial implantation as “buttons” attached to the root graft. The later Cabrol technique sought to reduce tension to the coronary reimplantation by using a second small graft with end- to-end anastomosis to the coronary ostium and then a side-to-side anastomosis to the aortic root prosthesis.