Aortic Root Enlargement Procedure

What is Aortic Root Enlargement?

To enhance hemodynamic function, a larger size valve is implanted on a small aortic annulus to prevent patient prosthesis mismatch. Different ways of enlarging small aortic annulus to implant adequate size valve to match patient’s body surface area are:
• Nick’s Procedure
• Manouguian Procedure
• Y incision and rectangular patch enlargement
• Konno’s Procedure

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Benefits of Aortic Root Enlargement:

By enlarging the aortic annulus, the surgeon can implant a valve prosthesis that is the right size based on the patient’s body surface area, resulting in less gradients between the aorta and the left ventricle. As a result, the patient’s left ventricle is remodelled and their functional status is improved.

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