A new alternative to the Bentall procedure: aortic valve neocuspidization (Ozaki procedure) with the Florida sleeve aortic root reconstruction.

Aortic valve operations for the sinus of Valsalva aneurysm are challenging. Several techniques are described in the literature for these kinds of pathologies, such as the David procedure, the Yacoub procedure and the Bentall procedure. The Florida sleeve technique was described in the last decade as a valve-sparing technique for a sinus of Valsalva aneurysm. More recently, the J-Mart technique was described: It combines the Florida sleeve technique with aortic valve replacement. Our goal was to describe our new technique, which depends mainly on combining the Florida sleeve technique and the Ozaki procedure in a small group of patients who had aortic valve disease and a sinus of Valsalva aneurysm.