Valve-Sparing Aortic Root Replacement in Bicuspid Valve With Papillary Fibroelastoma

This video demonstrates a valve-sparing root replacement (David procedure) with removal of the papillary fibroelastoma and reconstruction of the valve using 180° commissure orientation and cusp plications. A 34 mm straight Dacron graft was used. The base of the prosthesis and the coronary ostia were marked with radiopaque markers.