Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch
<p dir="ltr">Surgical enlargement of the aortic annulus enables insertion of a larger prosthetic valve, avoiding patient–prosthesis mismatch (PPM). Although several aortic annular enlargement techniques have been described, the rectangular patch technique with an inverted Y-incision...
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| مؤلفون آخرون: | , , , |
| منشور في: |
2025
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| الموضوعات: | |
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إضافة وسم
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| _version_ | 1864513524573667328 |
|---|---|
| author | Ahsan Ehtesham (17316907) |
| author2 | Jai Parkash (380693) Muhammad Zain Shaikh (22996354) Korey Zellner (22996357) Ghulam Murtaza (2559319) |
| author2_role | author author author author |
| author_facet | Ahsan Ehtesham (17316907) Jai Parkash (380693) Muhammad Zain Shaikh (22996354) Korey Zellner (22996357) Ghulam Murtaza (2559319) |
| author_role | author |
| dc.creator.none.fl_str_mv | Ahsan Ehtesham (17316907) Jai Parkash (380693) Muhammad Zain Shaikh (22996354) Korey Zellner (22996357) Ghulam Murtaza (2559319) |
| dc.date.none.fl_str_mv | 2025-09-16T09:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1177/15569845251375582 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Robotic_Aortic_Annular_Enlargement_With_Y-Incision_and_Rectangular_Patch/31056229 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Cardiovascular medicine and haematology Engineering Biomedical engineering Cardiothoracic Surgery Cardiac Valve Surgery Robotic-Assisted Surgery Prosthetic Heart Valves Aortic Annulus |
| dc.title.none.fl_str_mv | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <p dir="ltr">Surgical enlargement of the aortic annulus enables insertion of a larger prosthetic valve, avoiding patient–prosthesis mismatch (PPM). Although several aortic annular enlargement techniques have been described, the rectangular patch technique with an inverted Y-incision along the left and noncoronary cusps is relatively recent. These procedures are technically challenging via minimally invasive approaches, but robotic assistance makes them possible.</p><p dir="ltr">The patient had symptomatic severe aortic valve stenosis with evidence of left ventricular dysfunction (ejection fraction = 45%, peak gradient = 47.2 mm Hg, mean gradient = 29.3 mm Hg, and aortic valve area = 0.6 cm<sup>2</sup>). Preoperative computed tomography measured the aortic annulus at 18 mm (patient body surface area = 1.9). Notably, moderate aortic stenosis was documented 6 months earlier with preserved ejection fraction (55% to 65%), indicating rapid disease progression.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1177/15569845251375582" target="_blank">https://dx.doi.org/10.1177/15569845251375582</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_18e4a7d48e1fbee00f5585d97f14daa5 |
| identifier_str_mv | 10.1177/15569845251375582 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/31056229 |
| publishDate | 2025 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular PatchAhsan Ehtesham (17316907)Jai Parkash (380693)Muhammad Zain Shaikh (22996354)Korey Zellner (22996357)Ghulam Murtaza (2559319)Biomedical and clinical sciencesCardiovascular medicine and haematologyEngineeringBiomedical engineeringCardiothoracic SurgeryCardiac Valve SurgeryRobotic-Assisted SurgeryProsthetic Heart ValvesAortic Annulus<p dir="ltr">Surgical enlargement of the aortic annulus enables insertion of a larger prosthetic valve, avoiding patient–prosthesis mismatch (PPM). Although several aortic annular enlargement techniques have been described, the rectangular patch technique with an inverted Y-incision along the left and noncoronary cusps is relatively recent. These procedures are technically challenging via minimally invasive approaches, but robotic assistance makes them possible.</p><p dir="ltr">The patient had symptomatic severe aortic valve stenosis with evidence of left ventricular dysfunction (ejection fraction = 45%, peak gradient = 47.2 mm Hg, mean gradient = 29.3 mm Hg, and aortic valve area = 0.6 cm<sup>2</sup>). Preoperative computed tomography measured the aortic annulus at 18 mm (patient body surface area = 1.9). Notably, moderate aortic stenosis was documented 6 months earlier with preserved ejection fraction (55% to 65%), indicating rapid disease progression.</p><h2 dir="ltr">Other Information</h2><p dir="ltr">Published in: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1177/15569845251375582" target="_blank">https://dx.doi.org/10.1177/15569845251375582</a></p>2025-09-16T09:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1177/15569845251375582https://figshare.com/articles/journal_contribution/Robotic_Aortic_Annular_Enlargement_With_Y-Incision_and_Rectangular_Patch/31056229CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/310562292025-09-16T09:00:00Z |
| spellingShingle | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch Ahsan Ehtesham (17316907) Biomedical and clinical sciences Cardiovascular medicine and haematology Engineering Biomedical engineering Cardiothoracic Surgery Cardiac Valve Surgery Robotic-Assisted Surgery Prosthetic Heart Valves Aortic Annulus |
| status_str | publishedVersion |
| title | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| title_full | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| title_fullStr | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| title_full_unstemmed | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| title_short | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| title_sort | Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch |
| topic | Biomedical and clinical sciences Cardiovascular medicine and haematology Engineering Biomedical engineering Cardiothoracic Surgery Cardiac Valve Surgery Robotic-Assisted Surgery Prosthetic Heart Valves Aortic Annulus |