Y-incision aortic root enlargement – Common mistakes and update of early outcomes

Asian Cardiovascular and Thoracic Annals 2026

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Authors: Chi Chi Do‐Nguyen, Sarah A. Chen, Bo Yang
DOI: 10.1177/02184923261428546
Cited by: 1
References: 20

Abstract

Studies have shown that the effective orifice diameter of surgical prosthetic valves is 5-7 mm smaller than the labeled valve size. To improve outcomes of surgical aortic valve replacements, the Y-incision aortic annular enlargement enlarges the surgical aortic annulus to accommodate a prosthetic valve 3-4 sizes larger with an effective orifice area that matches the patient's basal ring. This review described the common mistakes of performing the Y-incision aortic annular enlargement in surgical aortic valve replacement, with a detailed look at early outcomes.

Fields of Study & Subjects

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

Publication details

Journal / source
Asian Cardiovascular and Thoracic Annals
Publisher
SAGE Publications
Volume
34
Issue
3
Pages
303–307
Publication date
1 March 2026
Language
EN