New Technique of Aortic Root Reconstruction With Aortic Valve Annuloplasty in Ascending Aortic Aneurysm Akhtar Rama, MD, Sylvain Rubin, MD, Nicolas Bonnet,

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New Technique of Aortic Root Reconstruction With Aortic Valve Annuloplasty in Ascending Aortic Aneurysm Akhtar Rama, MD, Sylvain Rubin, MD, Nicolas Bonnet, MD, Iradj Gandjbakhch, PhD The Annals of Thoracic Surgery Volume 83, Issue 5, Pages 1908-1910 (May 2007) DOI: 10.1016/j.athoracsur.2006.05.095 Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Aortic root preparation with resected Valsalva’s sinus. (B) Sub-annular Ticron 2-0 U-shaped sutures. (C) Aortic valve inclusion in a Dacron tube. The Annals of Thoracic Surgery 2007 83, 1908-1910DOI: (10.1016/j.athoracsur.2006.05.095) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Prosthesis incision in front of the aortic commissure. (B) Suture of the “commissural aortic enlargement patch.” (C) Final aspect with neo-sinus formation. The Annals of Thoracic Surgery 2007 83, 1908-1910DOI: (10.1016/j.athoracsur.2006.05.095) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (A) Aortic root reconstruction aspect with running sutures between each commissure. (B) General postoperative findings after coronary reimplantation and distal anastomosis. The Annals of Thoracic Surgery 2007 83, 1908-1910DOI: (10.1016/j.athoracsur.2006.05.095) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Outside (A) and inside (B) final aspects with neo-sinuses (asterisk) (pig heart). The Annals of Thoracic Surgery 2007 83, 1908-1910DOI: (10.1016/j.athoracsur.2006.05.095) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions