Modified composite-graft technique for aortic root replacement

Yorihiko Matsumoto, Yashutosh Joshi, Mathew Doyle, Shingo Takahara, Hideyuki Shimizu, Paul Jansz

Research output: Contribution to journalArticlepeer-review


This report describes a novel modification of a self-assembled composite graft to replace the aortic root and left ventricular outflow tract (LVOT). This technique enables the implantation of a larger valve than conventional ways and simultaneous reconstruction of LVOT. This technique comprises Inspiris Resilia aortic valve and Gelweave Valsalva graft. By placing the valve in the sinus portion of the graft, the bioprosthesis that is 1 mm smaller than the graft can be accommodated, providing a proper length of the collar for LVOT reconstruction. This technique is useful for patients who require redo-aortic root replacement and have restricted LVOT.

Original languageEnglish
Pages (from-to)258-260
Number of pages3
JournalGeneral thoracic and cardiovascular surgery
Issue number4
Publication statusPublished - 2023 Apr


  • Aortic root replacement
  • Bentall procedure
  • LVOT reconstruction
  • Redo Bentall procedure
  • Valsalva graft

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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