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Updated: Jul 7, 2026

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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Aortic root replacement with a valved conduit containing a stented xenograft
Giuseppe Gatti1, Bernardo Benussi, Aniello Pappalardo
1Department of Cardiovascular Medicine, Division of Cardiac Surgery, Ospedali Riuniti di Trieste, Trieste, Italy. giusep.gatti@tiscali.it
Summary
This study presents a modified Bentall operation for aortic root replacement using a stented bioprosthesis. The technique simplifies implantation and potential future redo procedures for valve failure.
Area of Science:
- Cardiovascular Surgery
- Biomedical Engineering
- Prosthetic Valve Technology
Background:
- The Bentall operation is a standard surgical procedure for replacing the aortic root.
- Current techniques often involve mechanical valve substitutes for aortic root replacement.
Purpose of the Study:
- To describe a novel modification of the Bentall operation for aortic root replacement.
- To evaluate a technique utilizing a stented bioprosthesis within a vascular graft.
Main Methods:
- A modification of the Bentall operation was devised.
- A stented bioprosthesis was sutured internally within a vascular tube graft.
Main Results:
- The modified technique facilitates the implantation procedure.
- This approach may simplify re-operation in cases of bioprosthetic valve failure.
Conclusions:
- The described modification offers a potentially simpler approach to aortic root replacement.
- This technique may improve outcomes for patients requiring future interventions.

