Pulmonary Autograft Leaflet Repair and Valve Sparing Root Replacement to Correct Late Failure of the Ross Procedure JOURNAL OF CARDIAC SURGERY Goldstone, A. B., Woo, Y. J. 2013; 28 (5): 496-499

Abstract

Delayed pulmonary autograft failure is the principal limitation of the Ross procedure. Although reoperation typically includes replacement of the neoaortic valve, strategies for autograft valve preservation are becoming increasingly employed. However, leaflet prolapse and asymmetry are deterrents to valve preservation in this technically complex surgical population. The present report illustrates the technical considerations in performing an autograft valve preserving aortic root replacement with direct leaflet repair for the surgical correction of aortic insufficiency and root aneurysm late after a successful Ross procedure.

View details for DOI 10.1111/jocs.12150

View details for Web of Science ID 000324070400005

View details for PubMedID 23782261