Abstract

Konno procedure. An additional annular enlargement anteriorly also keeps the Manouguian incision to the minimum if needed and minimizes any potential mitral valve dysfunction. This proposed modified extended 2-patch technique enlarges the proximal aorta in 2 directions from the annulus to ascending aorta. In the context of reoperative aortic reconstruction, it can be used as an alternative to total aortic root replacement and coronary reimplantation.

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