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Patients and Methods: Between November 2014 and August 2017, a total of 49 patients (52.1±12.5) years; 18.9% female, EuroScore II of (2.4%±1%) underwent AVRep, 6 due to isolated cusp malcoaptation and 43 with associated with aortic root dilatation. Recontruction was done with the Coroneo Extraaortic Ring (27 (25-31)) and the Gelweave graft (28 (26-32)). Concomitant procedures included MVRep in three patients with TVrep in two of them, CABG in two patents and replacement of aortic arch and placement of EVITA stent graft in two patients. Echocardiography was used to determine AR severity grade pre-operatively, during immediate post-operative period (within 7 days from operation) and at early follow-up.

Remodeling technique of aortic valve repair with root replacement and extraaortic ring