Dr. Ed Verrier presents a patient case study outlining surgical procedures to repair the heart valve. Pre- and post-operative echocardiograms illustrate a procedure using surgical aortic root enlargement. The lecture also highlights valve replacement options for the young adult, beginning with valve repair or reconstruction. Valvular heart disease improved by prosthesis includes several replacement options: mechanical prosthesis, stented bioprosthesis and stentless valves. From the Series:Regional Heart Center Grand Rounds