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Figure 3 Lecompte Maneuver

The aortic autograft is re-inserted into the left ventricular outflow. The aortic root autograft is then rotated 180° so that the defects from the coronary buttons face anteriorly. The coronaries are then reimplanted. Before re-establishing ascending aortic continuity, the branch pulmonary arteries are mobilized and brought anterior to the aorta (Lecompte maneuver) in preparation for right ventricular outflow reconstruction.