 The figure depicts a typical apicoaortic configuration with a left ventricle connector sutured to the apex of the heart, and a conduit containing a bioprosthetic valve anastomosed to the descending thoracic aorta.Blood exits the left ventricle either through the natural valve or the bypass conduit.The concept of an apicoaortic conduit to bypass valvular aortic stenosis (AS) was conceived by Carrel  in 1910, and performed experimentally by Sarnoff and colleagues on dogs in 1955.