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  • Title: Reverse U aortotomy (Kırali incision) for aortic valve replacement.
    Author: Kırali K.
    Journal: Asian Cardiovasc Thorac Ann; 2016 Jun; 24(5):467-9. PubMed ID: 25759482.
    Abstract:
    The presence of patent vein grafts on the proximal aorta may cause technical difficulties during reoperations for aortic valve replacement after previous coronary artery bypass surgery. A 65-year-old man underwent reoperation for aortic valve replacement two years after his first open heart surgery (valve-sparing aortic root replacement and aorta-right coronary artery saphenous vein graft). The aortotomy incision was started approximately 2 cm above the proximal anastomosis and continued down at both sides until the prosthetic graft. The reverse U aortotomy prevents unnecessary and risky manipulations of proximal anastomoses, provides perfect exposure, and can be used securely during reoperative aortic valve surgery.
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