Implantation of a Modified Freestyle Valve With a Single Inflow Suture Line: Technical Patterns and Advantages

Subcoronary implantation of stentless valves may be a surgical challenge in the small aortic root. In addition, calcifications of coronary ostia may interfere with the procedure. We present a technique to trim a Freestyle stentlesss root (Medtronic Inc, Minneapolis, MN) and facilitate implantation with a single inflow suture line.