The Ross-Konno procedure can be successfully performed as a reoperative treatment in young adults with recurrent congenital aortic stenosis after failed commissurotomy.
May support reoperative Ross-Konno feasibility in select young adults; leaves open need for larger series before broader adoption.
Mechanical and biological prostheses are valid options when aortic valve replacement is necessary. The Ross procedure is also an alternative solution, especially for young patients. We describe the case of a young patient with congenital aortic stenosis and bicuspid aortic valve who presented with dyspnea on exertion. An open commissurotomy was performed, and within 8 months the patient developed recurrent symptoms of severe aortic stenosis. He underwent redo sternotomy and a Ross-Konno procedure with an uneventful recovery.
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Mitropoulos et al. (2012) studied this question.
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