Ross Procedure With Pulmonary Autograft Reinforcement [1]
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Videos
Prof. Sir Magdi H. Yacoub - Interview [11]
Prof. Sir Magdi H. Yacoub discusses the Ross Procedure [12]
Ross Reversal: Returning the Pulmonary Autograft to its Native Position [13]
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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.