My aortic root simulator: If I can build it, you can build it

OBJECTIVES Simulation has become an integral part of thoracic surgical training that has been proven to improve residents' skills. The purpose of the current study was to develop a low-fidelity and low-cost simulator for aortic root surgery that could provide training in multiple aortic valve and root procedures. METHODS The current aortic root simulator is made of inexpensive, easily available materials and can be built easily to simulate an aortic root. The basic components are rubber glove, plastic cup, silk tape and small silastic tubes. RESULTS The simulator was proven to be simple and cost-effective. Several procedures have been performed with this simulator such as standard aortic valve replacement, aortic valve repair, valve-sparing aortic root replacement, and modified Bentall procedure. The building of the simulator is in itself a beneficial process to the resident. The benefit of its construction is a great learning experience. The simulator was placed in a box to create a portable device that can be used by the resident anywhere. CONCLUSIONS This is a simple and cost-effective aortic root simulator that can be built by the thoracic surgical resident to provide training in multiple aortic valve and aortic root procedures. Such low-fidelity portable simulators are beneficial to young trainees and may contribute to improvement of technical skills and procedural knowledge that ultimately leads to improved performance in the operative field.