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Updated: Jul 29, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Approach to the neoaortic valve for replacement after the arterial switch procedure in patients with complete
K Yoshizumi1, T Yagihara, H Uemura
1Department of Cardiovascular Surgery, National Cardiovascular Center, Suita, Osaka, Japan. yoshizum@post.saga-med.ac.jp
Abstract:
We report our experience of aortic valvar replacement subsequent to the arterial switch procedure, incorporating the Lecompte maneuver, in patients with complete transposition. The anterior wall of the neoaorta was incised in continuity with the posterior wall of the pulmonary trunk. The aortic root was reconstructed with or without augmentation using a patch after the operative procedures to the aortic valve. With this approach, the neoaortic root could readily be exposed without extensive dissection, and valvar replacement was safely achieved. These patients experienced no postoperative complications.

