“…In patients with moderate amdoectasia and wide but nonarieurysmal enlargement of the aortic root, the inclusion cylinder technique may be helpful. 6,7 As with other replacement devices, concomitant surgery increases the risk of surgery, a However, mortality with and without concomitant surgery is in the range reported in other series and for other replacement devices. One nmst take into account that our patients constitute a nonselected cohort, because our general policy is to offer stentless valves to males over age 40 to 45 and females over age 60 to 65.…”