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Updated: Apr 20, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Valve-sparing aortic root replacement in the presence of coronary anomalies
Domenico Mazzitelli1, Christian Nöbauer1, J Scott Rankin2
1Technische Universität München, Deutsches Herzzentrum München, Munich, Germany.
Abstract:
Aortic root replacement in the presence of coronary anomalies can be challenging. Because the anomalous coronary often arises close to a commissure, reconstruction with traditional buttons can be technically difficult without compromising either the leaflets or the coronary artery. A method of valve sparing root surgery termed "aortic valve and root restoration," using aortic ring annuloplasty and formal valve repair, and then incorporating the anomalous coronary into the commissural suture line, may offer a simple solution to this problem.
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