Commentary: Sometimes the best solution is to simplify

Abstract

Luo and colleagues1 describe their modified 2-patch technique for the repair of supravalvular aortic stenosis. In their modification, the authors perform a transverse aortic incision above the sinotubular junction and then make 2 vertical incisions into the non- and right-coronary sinuses. These 2 incisions are extended superiorly into the ascending aorta, forming a final H-like incision (hence the name H-repair). Following that, 2 separate rectangle-shaped pericardial patches are utilized to reconstruct the non- and right-coronary sinuses, with the sizes of the distal patches adjusted to achieve normal sinotubular junction diameter.