Abstract
In this video article, we present the technical details of the minimally invasive aortic valve reimplantation operation through a partial upper “J” ministernotomy using novel sizing of the Valsalva graft. Stability of the aortic annulus is achieved with the use of a purse string suture at the bottom of the Valsalva prosthesis. The key factors crucial for achieving long-term stability of aortic valve reimplantation include symmetrical heights of both commissures in 180° orientation, coaptation above the annulus, and adequate length of coaptation.
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