A novel method for repairing aortic regurgitation due to commissural detachment.

Currently, aortic valve replacement is the mainstay treatment for aortic regurgitation due to commissural detachment. Herein, we report a novel technique of aortic root and commissural repair and its intermediate clinical outcome in patients with significant aortic regurgitation caused by commissural detachment. The detached commissure and aortic root were treated concomitantly by en bloc reattachment of the detached commissure and aortic wall by using multiple pledgeted sutures, in addition to aortic root reimplantation.