Calculated reduction aortoplasty for dilatation of the ascending aorta associated with aortic valve replacement.

Background: Previous studies have advocated reduction aortoplasty to normalize the diameter of a moderately dilated ascending aorta associated with aortic valve disease. One of the reported techniques is the shawl lapel aortoplasty, which we have adopted and modified by setting a simple set of calculations. We present our midterm results.