“…2021;36:188-190. wileyonlinelibrary.com/journal/jocs 188 | © 2020 Wiley Periodicals LLC stabilization modifications to the remodeling technique include the David III procedure which adds an external partial annuloplasty (PTFE strip at the base of the noncoronary sinus from trigone to trigone), 7 an external annuloplasty suture, 10 an external annuloplasty ring, 11 and an internal annuloplasty ring. 12 Another interesting recent modification that has demonstrated good medium-term patient outcomes in patients with a bicuspid valve and moderate aortic dilatation (40-45 mm) is the hemi-remodeling technique. 13 This method involves the replacement of the noncoronary sinus, ascending aorta, and valve repair with external ring annuloplasty.…”