Bleeding from a coronary anastomosis and aortic annulus is sometimes a problem in the technique for aortic root replacement described by Bentall and DeBono and Cabrol and colleagues. Exposure and repair of these suture lines may be quite difficult after the termination of bypass. This article describes a new technique for aortic root replacement. In our experience to date, 6 patients with aneurysm of the ascending aorta and root and a calcified aortic valve stenosis as well as 1 patient with aortic dissection type A have benefited from this new procedure.