We have read with great interest the article by Papakonstantinou et al.
providing a single-center analysis of the contemporary approach to
tricuspid aortic valve (TAV) insufficiency with the use of HAART 300
annuloplasty ring .We believe that the presented concept of a
robust circumferential aortic annuloplasty with separate sinus
replacement, avoiding coronary re-implantations when allowed, can be
successfully applied to many cases, including BAV.