Reoperation After Ross Procedure With an Aortic Root Replacement

The patient in this video is a fit and active seventy-six-year-old man. Twenty-five years previously, he had a Ross procedure, but now presents with aortic root dilation. 

A percutaneous femoral vein cannula was used and the chest was opened. A very high aortic cannulation in the arch was used to provide space for the distal aortic anastomosis.

Antegrade and retrograde plegia was then given, and the dilated aortic homograft was opened to reveal perfect pulmonary cusps with just a dilated root. The RCA button was taken again, and the autograft was carefully taken off the previous homograft, which was used for the pulmonary valve and was still in perfect condition.  

The left coronary button was then created and a KONECT aortic root prosthesis was used to perform a redo root replacement with a biological valve in the root.  

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