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The Yacoub remodeling procedure uses a scalloped design to create a new aortic root out of Dacron. This scalloped shape was thought to experience less shear force and, therefore, might be expected to add more longevity and competence to valve-sparing operations. While the long-term outcomes of the original procedure have varied across centers, data regarding the latest modification to this technique is still emerging and requires careful analysis. This procedure is indicated for use in the same group of patients as the David valve-sparing re-implantation procedure but does not have the same endurance as the David repair.