Commissural repositioning in bicuspid aortic valve repair with Valsalva graft

Bicuspid aortic valve (BAV) is the most common congenital cardiac defect, with an estimated prevalence between 0.5% and 2% (1); this pathology is often associated with aortic root and ascending aorta dilation due to structural abnormalities such as decreased fibrillin, elastin fragmentation and apoptosis (1,2).