Aortoplasty for Management of the Dilated Distal Ascending Aorta During Proximal Aortic Reconstruction Emmanuel A. Amulraj, MD, William D.T. Kent, MD,

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Aortoplasty for Management of the Dilated Distal Ascending Aorta During Proximal Aortic Reconstruction Emmanuel A. Amulraj, MD, William D.T. Kent, MD, MS, S. Chris Malaisrie, MD The Annals of Thoracic Surgery Volume 96, Issue 4, Pages 1499-1501 (October 2013) DOI: 10.1016/j.athoracsur.2013.04.089 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 A small segment of Dacron graft is folded to create the turtleneck. The Annals of Thoracic Surgery 2013 96, 1499-1501DOI: (10.1016/j.athoracsur.2013.04.089) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The folded turtleneck segment before its placement over the distal anastomosis. The Annals of Thoracic Surgery 2013 96, 1499-1501DOI: (10.1016/j.athoracsur.2013.04.089) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 The turtleneck is unfolded over the distal suture line and the distal segment of the ascending aorta. The Annals of Thoracic Surgery 2013 96, 1499-1501DOI: (10.1016/j.athoracsur.2013.04.089) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Intraoperative view of completed aortoplasty procedure. The Annals of Thoracic Surgery 2013 96, 1499-1501DOI: (10.1016/j.athoracsur.2013.04.089) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions