Aortic Valve Replacement with Replacement of Aortic Root : When there is aneurysm of ascending aorta with aortic regurgitation, aortic root replacement is done. This can be done with a composite graft of Dacron with a prosthetic valve (BENTAL Procedure). In this procedure, the coronaries are re implanted into the Dacron graft. Alternatively, homograft aorta with valve can be used as in Bental procedure with reimplantation of the coronary arteries.