Annuloplasty with a Ring : The lings commonly used are Carpentier- Edwards and Cosgrove's flexible half ring. The rings are C shaped and have incomplete circles to accommodate the conduction pathway. The size of [he ring is selected by the measurement of annular attachment of septal leaflet, as this portion does not get dilated usually. The properly selected ring is fixed to the annulus using 30 polyester sutures,
Leaving the area where the bundle is lo cross the tricuspid annulus.