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Aortic valve repair is most frequently performed in cases of aortic insufficiency associated with aortic root aneurism. In cases of aortic root aneurism, dilation and distortion of the three dimensional aortic valve geometry can result in significant aortic insufficiency although the leaflet tissues remain largely undamaged. For many patients, the preferred surgical treatment is valve sparing root replacement, a procedure that includes resection and replacement of the involved segment of the aorta combined with aortic valve repair to eliminate aortic insufficiency.

Heart valve repair is a procedure to repair native valve function instead of replacing it with a mechanical or biological replacement device. The procedure is most frequently used to treat heart valves that do not close properly and leak, a condition call valve insufficiency. Valve repair may be more durable than biological valve replacement and avoids the complications associated with anticoagulation medications required with mechanical valve replacement.[1] Based upon the demonstrated superior patient benefits achieved with the procedure, valve repair has become the gold standard treatment for mitral valve insufficiency, comprising more than 70% of all isolated mitral valve procedures performed.