Valve sparing root replacement: reimplantation of the aortic valve

The first patient in the video is an asymptomatic 65-year-old male patient with permanent atrial fibrillation and permanent pacemaker for atrioventricular block of second degree. Transthoracic echocardiogram shows a tricuspid aortic valve (TAV) with eccentric aortic insufficiency (AI) grade 3+ towards the mitral valve indicating a right coronary leaflet prolapse. The left ventricular end diastolic (LVEDD) and end systolic (LVESD) diameter are 66 and 38 mm, respectively. The left ventricular ejection fraction (LVEF) is 72%. The ventriculoaortic junction (VAJ) diameter is 28 mm, the sinus of Valsalva is 45 mm, the sinotubular junction (STJ) is 40 mm and the ascending aorta is 42 mm