Why the study?
Aortic annular enlargement is essential in aortic valve surgery to address patient-prosthesis mismatch, prompting technical adaptations to simplify execution and improve hemostatic reliability.
Technical modifications to the Y-incision aortic annular enlargement technique aim to simplify execution and enhance hemostatic reliability.
May reduce bleeding risks with Y-incision annular enlargement; extends its role in complex aortic valve surgery.
Aortic annular enlargement has become an essential component of contemporary aortic valve surgery, particularly in the context of patient–prosthesis mismatch. We describe several practical technical adaptations to a Y-incision–based annular enlargement approach, derived from our institutional experience. These modifications focus on patch material selection, suturing strategy, and external reinforcement, with the aim of simplifying execution and enhancing hemostatic reliability while preserving the conceptual framework of the technique.
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Fikani et al. (2026) studied this question.
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