“…This is illustrated by recent editorial letters discussing different variants of root replacement, namely stentless versus stented Bentall, within the context of data derived from the Society of Thoracic Surgeons database. 2 , 3 The arguments in favor of bio-Bentall due to its valve-in-valve suitability should be taken with caution in light of the authors' results of diminished valve to coronary distance following a classic Bentall. 1 Among the simplest solutions to effectively mitigate this risk is to lower the level of the implanted valve.…”