Modification of Y-incision technique with Valsalva graft to enlarge subvalvular space

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Authors: Akihiro Higashino, Yoshitsugu Nakamura, Taisuke Nakayama, Yuto Yasumoto, Kusumi Niitsuma
Cited by: 0
References: 2

Abstract

The Y-incision aortic annular enlargement technique, introduced by Dr Bo Yang in 2021, has been shown to effectively enlarge small aortic annuli, allowing for implantation of larger prosthetic valves while preserving structural integrity.1 However, when implanting a larger prosthetic valve after annular enlargement, it is important to ensure that adequate space is provided below the valve. If the prosthetic valve is oversized for a restricted subvalvular space, it may not function optimally, potentially impairing hemodynamics and reducing the durability of the valve.

Fields of Study & Subjects

Cardiac Valve Diseases and Treatments Aortic Disease and Treatment Approaches Cardiac and Coronary Surgery Techniques

Publication details

Journal / source
JTCVS Techniques
Volume
37
Pages
102294–102294
Publication date
26 February 2026
Language
EN