Judkins Left is for Ascending Aorta, Pigtail is for piercing the Aortic Valve.
It can be with a Stent or a Balloon.
Bare Metal Stents require anticoagulation for only 3 Months, but they have a higher rate of complications.
It uses a Compressible Valve sort of like a stent.
It looks a bit burned as Anterior Intercostals have been Cauterized and Transversus Thoracis cut.
With the heart not stopped it is a more difficult surgery with a faster recovery, although enthusiasm may be waning.