Approaches • Modified Bentall Procedure – AVR with Replacement of aortic root with Dacron Graft – Re-implantation of coronaries – Options: • • • • •
Mechanical valve conduit Constructed stented/stentless tissue valve conduit Homograft Aortic Root Bioprostheses (e.g. Medtronic Freestyle) Autograft / Ross
• Valve-sparing root replacement (VSRR) – i.e. David / re-implantation procedure
Basel Ramlawi, MD Bramlawi@TMHS.ORG