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the McKay cardio rout is a collagen coated onepiece device designed to repair or replace the ascending aorta the cardio root graft features three distinct sections in one piece unlike other grafts that are three pieces sewn together the three sections of the cardio route are the body the Bulge and the collar the Bulge of the cardio rout was specially designed with a smooth surface and distinctive shape mimicking the anatomy of the Native aortic route and coronary sinuses during the bio bental procedure the native aortic valve leaflets are excised leaving the aortic anulus interrupted pled sutures are then circumferentially passed below the annulus when all of the pled sutures are in position the cardio root graft collar is trimmed if needed the proximal collar of the cardio route is uncrimped and easy to handle allowing for faster and more accurate trimming when placing the bio valve inside the cardio root graft the unique shape of its proximal end facilitates estimation of the length
