{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:12:07Z","timestamp":1780524727299,"version":"3.54.1"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Surgical incisional approach to the ascending aorta is the main strategic step during valvular and\/or subvalvular aortic interventions. Classic aortotomy incisions (transverse or oblique) can be challenging and can cause suboptimal exposure of the aortic root especially for the patients with small aortic annulus or for redo coronary artery bypass patients with patent proximal grafts interposed to the ascending aorta.<\/jats:p><jats:p>\n          Methods\u2003The K\u0131rali incision was used in 91 patients (including 13 reoperations) who underwent an aortic intervention for valvular and subvalvular pathologies. Aortic root was exposed by forming inverted \u201cU\u201d shape incision starting from approximately 3\u2009cm above the right coronary ostium toward the center of the noncoronary annulus and the top of the left\u2013right commissure like a tongue.<\/jats:p><jats:p>\n          Results\u2003The aortic valve was replaced with a mechanical prosthesis in 45 patients and with a bioprosthesis in 39 patients including 14 sutureless and 16 stentless prostheses. A total of 29 patients received a concomitant procedure per the following: coronary artery bypass grafting on 8 patients and left ventricular assist device on 7 patients. There was no any problem related to aortotomy incision technique such as bleeding, rupture, dehiscence, or laceration perioperatively. There was no complication related to the procedure during 5-year follow-up.<\/jats:p><jats:p>\n          Conclusion\u2003This new aortotomy incision technique is a safe procedure that provides good exposure for all kinds of aortic valve interventions and protects grafts and can facilitate aortic root enlargement or aortoplasty easily. This incision has the potential to be an alternative to traditional techniques.<\/jats:p>","DOI":"10.1055\/s-0043-1776705","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T23:54:38Z","timestamp":1706745278000},"page":"126-131","source":"Crossref","is-referenced-by-count":1,"title":["Reverse-U Aortotomy (K\u0131rali Incision) for Aortic Valvular Interventions"],"prefix":"10.1055","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8204-9008","authenticated-orcid":false,"given":"Mustafa Mert","family":"Ozgur","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hakan","family":"Hancer","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatih","family":"Yigit","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehmet","family":"Aksut","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tan\u0131l","family":"Ozer","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ozge","family":"Altas","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sabit","family":"Sar\u0131kaya","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaan","family":"K\u0131rali","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kosuyolu High Specialization Education and Research Hospital, Istanbul, Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"issue":"03","key":"ref1","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1111\/j.1540-8191.2005.200452.x","article-title":"Reverse \u201cU\u201d aortotomy for aortic valve replacement after previous coronary artery bypass grafting","volume":"20","author":"K Kirali","year":"2005","journal-title":"J Card Surg"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1177\/0218492315575847","article-title":"Reverse U aortotomy (K\u0131rali incision) for aortic valve replacement","volume":"24","author":"K K\u0131rali","year":"2016","journal-title":"Asian Cardiovasc Thorac Ann"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/0003-4975(91)90342-N","article-title":"Patch aortotomy for aortic valve replacement after previous coronary artery bypass grafting","volume":"51","author":"R Sindhi","year":"1991","journal-title":"Ann Thorac Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"87","DOI":"10.1007\/s11748-015-0600-5","article-title":"Anterior longitudinal aortotomy in aortic valve replacement","volume":"64","author":"K Matsuzaki","year":"2016","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"ref5","first-page":"257","volume-title":"Conventional aortic valve surgery (open surgical approaches)","author":"K K\u0131rali","year":"2018"},{"key":"ref6","first-page":"S64","article-title":"Mini-T sternotomy for awake coronary revascularization with bilateral internal thoracic artery. Abstracts for the European Society for Cardiovascular Surgery 53rd International Congress, Ljubljana, Slovenia, June 2\u20135, 2004","volume":"3","author":"K K\u0131rali","year":"2004","journal-title":"Interactive Cardiovasc Thorac Surg"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1776705.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,6]],"date-time":"2025-03-06T23:50:13Z","timestamp":1741305013000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1776705"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,31]]},"references-count":6,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2025,3,6]]},"published-print":{"date-parts":[[2025,3]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1776705","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,31]]}}}