This article focuses on actual issue in modern сardiac surgery – allograft implantation in aortic position. From February 2009 until July 2016 aortic valve replacement using allografts was performed in 102 patients. Aortic valve replacement with an allograft was performed using full root technique and subcoronary implantation technique. Aortic allografts were implanted using running, single or U-shaped sutures with or without pledgets. Allograft function was assessed in all patients 7 to 10 days postoperatively. In accordance with the findings cryopreserved allografts when implanted in orthotopic position resemble functioning of the native aortic valve. Thus, allografts are an alternative for mechanical and biological prostheses in elderly patients with a narrow aortic annulus. Routine intraoperative transesophageal echocardiography is an obligatory method, needed to control the function of an implanted allograft.
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