A single-graft technique: Integrating Y-incision aortic annular enlargement with ascending aortic replacement

Dr Bo Yang's Y-incision aortic annular enlargement technique is an effective method that can safely and effectively enlarge the aortic annulus by 2 to 3 valve sizes.1 If an ascending aortic replacement is also needed, the artificial vessel should be anastomosed to the expanded aortic root, which will leave one suture line at the posterior wall of the root, carrying a risk of bleeding. We modified this procedure using a segment of Dacron tube graft and achieved good results.