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Updated: Feb 9, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aorta-atria-septum combined incision for aortic valve re-replacement
Yiwei Xu1, Xiaofeng Ye1, Zhaolong Li1
1Department of Cardiac Surgery, Ruijin Hospital Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China.
Abstract:
This case report illustrates a patient who underwent supra-annular mechanical aortic valve replacement then suffered from prosthesis dysfunction, increasing pressure gradient with aortic valve. She was successfully underwent aortic valve re-replacement, sub-annular pannus removing and aortic annulus enlargement procedures through combined cardiac incision passing through aortic root, right atrium (RA), and upper atrial septum. This incision provides optimal visual operative field and simplifies dissection.
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