title: A new approach to aortic annulus enlargement.
abstract: Enlargement of the aortic annulus has always been a dilemma. Many techniques have been suggested. We present a new technique which was carried out on 43 patients which caused symptomatic improvement in those patients. The technique includes incising the aortic annulus at both ends of the left coronary cusp or both sides of the left coronary ostium of equal distance. Prosthetic or pericardial patches are used for enlargement. We have had good results with this technique and we believe it is an excellent alternative to prevent late complications on mitral valve.
authors.affiliation: Iran Medical Science University Heart Hospital, Tehran.
authors.forename: N
authors.initials: N
authors.lastname: Ahmad
authors.forename: S
authors.initials: S
authors.lastname: Nazem
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D006350:Heart Valve Prosthesis; D006801:Humans; D008722:Methods; D013526:Surgical Mesh; D013536:Suture Techniques; D014694:Ventricular Outflow Obstruction / Q000601:surgery