Modified reimplantation of bicuspid aortic valve.

We present a modified bicuspid aortic valve reimplantation operation using a unique technique of second line, continuous suturing during implantation of the aortic valve scallop to the prosthesis that mimics stentless, minicylinder implantation.  The feasibility of bicuspid aortic valve repair with associated aortic root management has been demonstrated. However, this repair seems to be less durable than tricuspid aortic valve repair, and this may be partly because of the connective tissue disorders that are an inherent feature of bicuspid aortic valve disease.  Annular progressive dilatation as a consequence of annuloaortic ectasia may also affect long-term stability of a repair and the modified reimplantation technique presented here has been developed to address issues of annular stabilization as well.