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Manouguian procedure for #aortic root enlargement.

Patient required aortic valve replacement however it was not possible to fit a prosthetic valve large enough for the patient's body size. The aortic annulus was enlarged by extending the cut in the aorta down between the left & non-coronary cusps into the fibrous tissue of the subaortic curtain. A patch of bovine #pericardium was used to reconstruct the defect.