Valve-sparing aortic root replacement

Aortic root replacement with sparing of the aortic valve in selected patients with isolated sinus of Valsalva or sinotubular aneurysm and a normal valve provides the advantages of an anticoagulation-free milieu and a more physiological root hemodynamic. The clinical efficacy and durability have been documented. This report describes a simple and reproducible technique of aortic root remodeling that uses a prosthetic conduit as originally pioneered by Magdi Yacoub and later by Tirone David.