Stentless Freestyle Root Replacement: Distillation of Technique From a 30-Year Experience

Bartlomiej R Imielski; Gabriel E Cambronero; Zohaib R Khawaja; Yusuf M Aboutabl; Adrian L Lata; Edward H Kincaid; Neal D Kon

doi:10.1016/j.atssr.2023.11.002

Stentless Freestyle Root Replacement: Distillation of Technique From a 30-Year Experience

Ann Thorac Surg Short Rep. 2023 Nov 21;2(1):18-20. doi: 10.1016/j.atssr.2023.11.002. eCollection 2024 Mar.

Authors

Bartlomiej R Imielski¹, Gabriel E Cambronero¹, Zohaib R Khawaja¹, Yusuf M Aboutabl¹, Adrian L Lata¹, Edward H Kincaid¹, Neal D Kon¹

Affiliation

¹ Department of Cardiothoracic Surgery, Wake Forest School of Medicine, Winston-Salem, North Carolina.

Abstract

In 1968, Bentall introduced a composite valve-graft that became the "gold standard" for aortic root replacement. Since then, several alternatives have arisen; one is the Freestyle (Medtronic) stentless aortic root bioprosthesis. This porcine aortic valve has excellent results, and we describe the surgical technique we have developed during our 30-year experience.