Universal method for insertion of unstended aortic autografts, homografts, and xenografts. Discussion

Since the advent of homograft aortic valve replacement surgery in the early 1960s, this procedure has been plagued by early aortic insufficiency. This problem has not been observed with total aortic root replacement. From September 1985 to April 1991, a modified method was used in 25 of 39 consecutive patients having aortic root replacement-seven having autografts, 30 having homografts, and two having xenografts. This technique is a new approach for implanting unstented valves in the aortic position