[Hemiarch replacement and concomitant valve repair for proximal aortic aneurysm accompanying bicuspid aortic valve with mild regurgitation].

A 64-year-old man who had proximal aortic aneurysm and bicuspid aortic valve with mild regurgitation underwent hemiarch replacement and concomitant valve repair under selective cerebral perfusion and deep hypothermic circulatory arrest. Valve repair technique consisted of leaflet plication according to Schaefers and subcommissural annular plication. No homologous transfusion was required, and the patient was extubated 5.5 hours after surgery. The repaired valve showed trivial regurgitation and no stenosis, and remained stable 22 months after surgery. Schaefers' technique of aortic leaflet plication is simple and reproducible, and is therefore recommendable for such cases.