David Operation for Insufficient Pulmonary Autograft After Ross-Konno Procedure

Autor: Shogo Yokose, Takashi Miura, Ichiro Matsumaru, Shun Nakaji, Kikuko Obase, Masayuki Takura, Kiyoyuki Eishi
Rok vydání: 2022
Předmět:
Zdroj: The Annals of Thoracic Surgery. 113:e279-e281
ISSN: 0003-4975
DOI: 10.1016/j.athoracsur.2021.07.005
Popis: We report the case of a 25-year-old female who developed severe aortic regurgitation because of pulmonary autograft root dilatation late after Ross-Konno procedure. The geometric heights of all three cusps were relatively small, allowing for the David operation with a 24-mm straight graft. We carefully dissected the aortic root and, the dissection process was relatively straightforward, and the basal ring could be sutured properly. The latest follow-up TTE showed normal autograft valve function and mild aortic regurgitation. Even in the Ross-Konno procedure, valve-sparing root replacement is possible, as in the Ross procedure.
Databáze: OpenAIRE