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Updated: Jul 8, 2025
Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic valve replacement with Y-incision/rectangular patch aortic annular enlargement
Farhang Yazdchi1, Katelyn Monaghan1, Bo Yang1
1Department of Cardiac Surgery, University of Michigan, 1500 East Medical Center Drive, 5155 Frankel Cardiovascular Center, Ann Arbor, MI 48109 USA.
Abstract:
A small aortic root and annulus would need extensive aortic annular enlargement during valve replacement in adult patients to avoid patient-prosthesis mismatch. This report describes a technique that enlarges the aortic annulus by 4-5 valve sizes as well as a modification of the aortotomy with the roof technique to make the aortotomy closure easier and more hemostatic while enlarging the sinotubular junction and proximal ascending aorta effectively for future transcatheter valve-in-valve replacement.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s12055-023-01606-4.
