The use of a stentless porcine bioprosthesis to repair an ascending aorticaneurysm in combination with aortic valve regurgitation

Over the years, many surgical methods have evolved for the treatment of asc ending aortic aneurysm in combination with aortic valve regurgitation; howe ver, precise guidelines for optimal surgical techniques for varying present ations have not been defined. We describe the use of a stentless porcine bi oprosthesis (Medtronic Freestyle(R)) in a patient with an ascending aortic aneurysm and aortic regurgitation. We used the complete root replacement me thod, and anastomosed a Dacron graft (Hemashield(R)) between the bioprosthe tic valve and the native aorta to replace the distal part of the aneurysm.