Valve-sparing root reimplantation with a Valsalva graft for a trileaflet aortic valve

Abstract

Valve-sparing root reimplantation has become an attractive alternative to conventional aortic root replacement in young patients as a means to avoid the anticoagulation required for mechanical roots while improving the durability compared to bioprosthetic valved conduits. In this video tutorial, we present our step-by-step process for performing a valve-sparing root reimplantation with a Valsalva graft for a patient with an aortic root aneurysm and a trileaflet aortic valve.

Keywords: Aortic root; Aortic root aneurysm; Aortic valve; Aortic valve repair; David operation; Reimplantation technique.