“…On the other hand, among aortic root repair strategies, Chang et al suggested in case of pathological features of dissection, a sinus replacement technique using a patch trimmed to a scallop shape similar to Valsalva sinus, aiming to decrease severe aortic root bleeding. However, a cornerstone like the Bentall procedure created a race on describing the benefits of the modified technique in large clinical studies (3)(4)(5). In this context, Werner et al closed the gap regarding long-term outcomes in patients undergoing the modified Bentall technique operation evidencing comparable results at 10-year follow-up with those of the general population.…”