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. 2022 Jan 26;12:33–36. doi: 10.1016/j.xjtc.2022.01.006

Figure 2.

Figure 2

A, The rectangular patch was trimmed into a triangular shape and a longitudinal aortotomy was made to make to incorporate the triangular shape patch into the closure of the complete aortotomy to enlarge the new STJ and proximal ascending aorta. B, The 25 Magna Ease valve (3-valve size upsized); (Edwards Lifesciences) was seated in the enlarged root and triangular patch was partially anastomosed to the longitudinal aortotomy in the ascending aorta. C, The triangular portion (roof) was completely anastomosed to the ascending aorta posteriorly. D, External view of the complete aortotomy closed incorporating the patch at the posterior side of the ascending aorta. E, The preoperative CTA showed the aortic root was 25 × 27 mm, and the STJ was 25 mm. F, The 3-month postoperative CTA showed the aortic root was 35 × 37 mm, and the new STJ was 35 mm. The valve-to-coronary distance was 6 to 7 mm for both coronary ostia.