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Valve-sparing aortic root replacement (David reimplantation) has been recently used for treating annulo-aortic ectasia (AAE), and is associated with excellent survival and a low risk of late aortic valve replacement (AVR). However, the associated long-term durability of the repair remains uncertain because of the complexity of the aortic root and valve function. Previous studies have reported that the incidence of recurrent moderate aortic regurgitation 10 years after David reimplantation ranges from 10 to 30%, with some

Recurrent aortic regurgitation after valve-sparing aortic root replacement due to dilatation of a previously implanted Valsalva graft