In infants and children
- in infants
critical aortic valve stenosis: commissurotomy, thinning of the valve cusps, removal of myxomatosic nodules. - in children
Stenosis/insufficiency: thinning, tricuspidalization with pericardial patch, augmentation of the cusps, enlargement of the aortic annulus (only with valve replacement). Nicks procedure: incision in the noncoronary sinus, pericardial patch enlargement and oblique implantation. Manugian procedure: incision through left/noncoronary commissure to mitral valve and left atrium; pericardial patch plasty. Konno procedure: incision in ventricular septum through right/left coronary commissure.