%0 Journal Article %T Valve sparing root replacement: remodeling root repair with aortic ring annuloplasty %A Emmanuel Lansac %A Isabelle Di Centa %A Mathieu Debauchez %A Nizar Khelil %A Pouya Youssefi %J Archive of "Annals of Cardiothoracic Surgery". %D 2019 %R 10.21037/acs.2019.04.01 %X Recent international guidelines on the management of aortic root disease mention ˇ°aortic annuloplastyˇ± in combination with aortic root remodeling as part of a class I indication for management of aortic root aneurysm (1). The remodeling technique provides physiological cusp movement within three reconstructed neo-sinuses, which permits root expansibility through the interleaflet triangles. We have developed a standardized aortic valve and root repair protocol involving a physiological reconstruction of the aortic root using the remodeling technique, cusp effective height resuspension, and a subvalvular external aortic ring annuloplasty (Figure 1) %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6562073/