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Updated: May 15, 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
Reverse graft placement in the Florida sleeve procedure for aortic root aneurysm
Takeshi Komoda1, Satsuki Komoda, Petra Gehle
1Department of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum Berlin, Berlin, Germany. komoda@dhzb.de
The Annals of Thoracic Surgery
|January 23, 2013
Summary
This study presents a novel aortic remodeling technique for aortic root aneurysm repair. The procedure involves a unique graft placement and aortic valve resuspension, achieving successful outcomes in 22 patients.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Aortic Aneurysm Repair
Background:
- Aortic root aneurysms pose significant risks.
- Effective surgical repair techniques are crucial for patient outcomes.
Purpose of the Study:
- To describe a new aortic remodeling technique for aortic root aneurysm.
- To evaluate the initial success of this novel procedure.
Main Methods:
- A modified Valsalva graft technique was employed in 22 patients.
- The procedure involved reverse graft placement, annular fixation, root wrapping, and commissure resuspension.
- Anastomosis was performed to the distal ascending aorta.
Main Results:
- The described aortic remodeling technique was successfully applied to 22 patients.
- The study reports successful operations for aortic root aneurysm repair.
Conclusions:
- This novel aortic remodeling technique offers a viable surgical option for aortic root aneurysms.
- The initial results suggest successful application and outcomes.

