Associated Replacement of Ascending Aorta, Aortic Valve, and Noncoronary Sinus of Valsalva

A simple technique utilized when replacement of the ascending aorta has to be associated with replacement of the aortic valve and the sole noncoronary sinus of Valsalva (vs. total root replacement) is presented. It offers the advantage to secure stable hemostasis in an area where surgical exposure may be difficult to achieve off-pump. For its easy reproducibility, this procedure might contribute to a more radical resection of diseased tissue thus limiting risk of further dilatation, rupture, and need for reoperation.