Valve-Sparing Reconstruction Within the Native Aortic Root: Integrating the Yacoub and the David Methods

I propose an integrated valve-sparing aortic root reconstruction that combines the surgical principles of both the Yacoub and David methods. Valve re-suspension is first completed within the native aortic root; then the graft is anchored to the pledget-reinforced, scalloped true aortic annulus.