*6.3.1.2 Dilated pulmonary root with no patch*

If the main pulmonary artery/outflow tract is dilated or in the presence of a pulmonary artery aneurysm, our technique is different. A transverse pulmonary arteriotomy is created, and a running or interrupted suture technique is used to secure the prosthesis similar to a standard aortic valve replacement. The pulmonary arteriotomy is then closed with a running polypropylene suture.
