M. Ischenko

Y-incision aortic annular enlargement using the arc patch modification: a step-by-step tutorial.

Aortic annular enlargement is an important adjunct to aortic valve replacement in patients with a small aortic annulus and restricted aortic root anatomy. The Y-incision technique facilitates implantation of a larger prosthetic valve, reducing the risk of prosthesis-patient mismatch and improving postoperative haemodyn...