Alfred Kocher technique for prevention of patient-prosthesis mismatch in paediatric patients.
A 7-year-old girl requiring aortic valve replacement had a functionally unicuspid aortic valve. Although the Ross procedure is generally favored in children, an intraoperative bicuspid pulmonary valve made durable…
Clinical pearl
In a child unsuitable for a Ross procedure, posterior aortic root enlargement using the Alfred Kocher technique can permit implantation of a larger mechanical prosthesis; assess pulmonary valve anatomy because an…