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Updated: Jan 14, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Bicuspid aortic valve repair with external annuloplasty
Maksym Rzhanyi1, Polina Danchenko1, Kostiantyn Rudenko1
1State Institution "Amosov National Institute of Cardio-Vascular Surgery of the National Academy of Medical Sciences of Ukraine" Department of Myocardial Pathology, Transplantation and Mechanical Circulation Support.
None:
This video tutorial demonstrates the surgical repair of a bicuspid aortic valve in a 45-year-old male patient with severe aortic regurgitation due to annular dilatation and prolapse of the fused cusp. The procedure included external annuloplasty to stabilize and downsize the annulus, and cusp plication to restore effective height and durable coaptation. The repair resulted in a competent native valve with preserved geometry. It highlights reconstructive strategies as a durable alternative to valve replacement.
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