Figure 6.
Tailoring of the Dacron-graft. The size of the Dacron-graft is choosen according to the patient’s cusp size and BSA. Like in this patient, a 26 mm graft is suitable in >90% of our patient. The graft is tailored, placing three incisions at 120° angles. The incisions are initially 2 to 2.5 cm long on the stretched graft; they can later be extended if required. It is helpful to have a graft that already has marker lines with a 120° configuration (e.g., AlboGraft® Polyester Vascular Grafts, LeMaitre, Burlington, MA, USA). The three tongues are cut in a rounded fashion. BSA, body surface area.