Yin Kanhua, Monaghan Katelyn, Yang Bo
Department of Cardiac Surgery, University of Michigan, Ann Arbor, Michigan.
Ann Thorac Surg Short Rep. 2024 Jun 24;2(4):732-734. doi: 10.1016/j.atssr.2024.06.004. eCollection 2024 Dec.
The Y-incision aortic annular enlargement (AAE) has been established as a safe and effective technique for upsizing the aortic annulus by 3 to 4 valve sizes. However, concerns have been raised regarding its technical complexity during reoperations, particularly given the extensive enlargement of the aortic annulus and root. We present a case of reoperative aortic valve replacement after previous Y-incision AAE for prosthetic valve endocarditis and aortic root abscess. Our case highlights the simplicity and effectiveness of using a rectangular patch for root reconstruction and implanting the "roof" technique for aortotomy closure in reoperations after Y-incision AAE.
Y形切口主动脉瓣环扩大术（AAE）已被确立为一种安全有效的技术，可将主动脉瓣环扩大3至4个瓣膜尺寸。然而，对于再次手术时其技术复杂性存在担忧，特别是考虑到主动脉瓣环和根部的广泛扩大。我们报告一例先前接受Y形切口AAE后因人工瓣膜心内膜炎和主动脉根部脓肿而行再次主动脉瓣置换术的病例。我们的病例突出了在Y形切口AAE后的再次手术中使用矩形补片进行根部重建以及采用“屋顶”技术关闭主动脉切口的简便性和有效性。
