Fringed valve prosthesis for aortic root abscess

Two patients with aortic root abscess were successfully treated with a fringed valve prosthesis, in which a fringe material was secured to the sewing cuff of a bileaflet prosthetic valve using a 4-0 running suture. This fringed valve technique provides dual security for annular attachment of the prosthesis without coronary reimplantation. Good late outcome suggests it would be a useful alternative for aortic root abscess.