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Updated: Aug 18, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic valve-sparing procedure with cusp elongation and free edge reinforcement for bicuspid aortic valve
Francois Dagenais1, Richard Bauset, Patrick Mathieu
1Department of Cardiovascular Surgery, Québec Heart Institute, Laval Hospital, Sainte-Foy, Quebec, Canada. francois.dagenais@chg.ulaval.ca
Abstract:
Aortic valve-sparing procedures demonstrate excellent valvular function at midterm. Recently authors have reported acceptable early results with aortic valve-sparing procedures on patients with regurgitant bicuspid valves. We report the case of a novel procedure to preserve bicuspid valves with a calcified raphe and root dilatation. This procedure includes raphe excision, pericardial patch elongation, free edge leaflet reinforcement, and a root reimplantation valve-sparing procedure.
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