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Complete remodeling of the aortic root with replacement of all three aortic sinuses and reimplantation of the coronary arteries. (A) The three aortic sinuses are excised leaving 4 to 5 mm of sinus wall attached to the aortic annulus. (B) A tubular Dacron graft is tailored to create 3 neo-aortic sinuses. The coronary arteries are reimplanted.
