Barw Barw Medical Journal 2960-1959 2023 06 29 Aortic Root Enlargement During Redo Aortic Valve Replacement for Prosthetic Aortic Valve Dysfunction: A Case Report 10.58742/bmj.v1i2.24 eng Saif S. Almodhaffer Mosul Cardiac Center, Mousl, Iraq.. saif@gmail.com Okba F. Ahmed Mosul Cardiac Center, Mousl, Iraq.. okba.ahmed@gmail.com Zaid A. Zaid Department of Cardiac Surgery, Ibn Albittar Cardiac Surgeon, Baghdad, Iraq.. zaid.ziad34@gmail.com Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. fahmi.hussein@univsul.edu.iq Dana H. Mohammed-Saeed Smart Health Tower, François Mitterrand Street, Sulaimani, Kurdistan, Iraq. dana.saeed@gamil.com Berun A. Abdalla Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. berun.anwer95@gmail.com Marwan N. Hassan Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. marwan.nasih12@gmail.com Shvan H. Mohammed Kscien Organization for Scientific Research (Middle East office), Hamid Str, Azadi Mall, Sulaimani, Kurdstan, Iraq. shvanh80@gmail.com 2023 05 15 Abstract Introduction A variety of procedures for enlarging the aortic root have been described. The aim of the current study is to report a case of Redo aortic valve replacement that underwent Aortic root enlargement using a novel method. Case presentation A 32-year-old female with a history of severely stenotic aortic valve prothesis developed recurrent attacks of syncope and dyspnea on minimal effort. She had a past surgical history of AVR. Under general anesthesia in supine position re-sternotomy was done. The newly developed technique was done for the aortic root enlargement. There were no significant intra-operative complications. The patient remained two days in the Cardiac intensive care unit (ICU) and 15 days in the ward. Conclusion The technique previously described by Yang et al. can be used safely and efficiently to enlarge the aortic root in patients who have had redo aortic valve replacement.