Single sinus coronary arteries, juxtacommissural coronary
arteries, and/or intramural coronary arteries
- Yacoub technique: A single arterial button is turned upside
down, and anastomosed to the neoaorta (Figure 4D).4
- Planche technique: This modifies the “upside-down” technique,
adding a U-shaped incision in the neoaortic wall and avoiding the use
of a pericardial patch (Figure 5A).12
- Bay-window technique: The inner half of U-shaped coronary cuffs
are sewn into trapdoor incisions made on the neoaortic stump. (Figure
5B).36
- Pouch technique: This technique involves commissural
detachment, unroofing of intramural coronary arteries, and creation of
a long aortic pouch (Figure 5C).37,38,40
- The Double Button Melbourne technique: This involves
commissural detachment and unroofing of the coronary arterial orifices
(Figure 6A).17,39
- The pericardial hood technique: The upper edge of the coronary
arterial button is implanted to the neoaorta at an appropriate level
when the arterial orifices are inseparable, confluent, or
juxtacommissural.39
- In-situ transolocation: An aortopulmonary window is created,
with the anastomosis completed using a tongue of aortic wall (Figure
6B).40
- Aubert procedure: An aortopulmonary window is completed with a
patch to the neoaorta (Figure 7A).41
- Moat’s procedure: The aortopulmonary window is completed using
a bovine pericardial baffle (Figure 7B).42
- Imai procedure: The window approach for intramural arteries is
modified by suturing a D-shaped hinged aortic cuff of the non-adjacent
sinus. (Figure 7C).43
- In-situ arterial reallocation: Hockey-stick-shaped incisions
are used to transfer the coronary arteries without distortion of their
original anatomic position (Figure 8A).44
- Reimplantation after neoaortic anastomosis: Separate intramural
coronary arterial buttons are transferred after completion of the
neoaortic anastomosis.45
- Anastomosis with pericardial hoods: The trapdoor approach is
combined with use of pericardial hoods (Figure
8B).46
- Cetin technique: Coronary arterial buttons are transferred to
the neoaorta using pericardial or pulmonary arterial hoods (Figure
8C).47