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Ross Procedure With Pulmonary Autograft Reinforcement

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By Enrique Garcia, MD, Mohammed Ly, MD and Emre Belli, MD

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We present the operative steps in the Ross procedure with pulmonary autograft reinforcement in a 16 year-old male. The patient presented with both stenotic and regurgitant congenital bicuspid aortic valve disease associated with an aneurysm of the ascending aorta. Initially, supra-commissural ascending aorta replacement and aortic valve repair procedure were planned. Peri-operative TEE revealed the persistence of a residual, significant transvalvular gradient. A Ross procedure with pulmonary autograft reinforcement using a 24 mm Dacron conduit was then performed. Normothermic cardiopulmonary bypass and intermittent antegrade warm blood cardioplegia were used. The result was satisfactory, and the patient was discharged home in a timely fashion.

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Publication Date: 28-Jun-2012
Last Modified: 12-Jul-2012

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