Key result
Autograft valve-preserving root replacement with leaflet repair illustrates techniques for correcting late post-Ross aortic insufficiency.
Why the study?
Delayed pulmonary autograft failure is the principal limitation of the Ross procedure, and leaflet prolapse and asymmetry pose challenges to increasingly employed valve-preservation strategies.
Case Report
Demonstrates the technical feasibility of autograft valve preservation and leaflet repair for late failure of the Ross procedure.
Case report supports technical feasibility of autograft preservation late after Ross; leaves open durability, safety, and need for prospective data.
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.
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Goldstone et al. (2013) conducted a case report in Delayed pulmonary autograft failure after Ross procedure. Autograft valve preserving aortic root replacement with direct leaflet repair was evaluated. Autograft valve preserving aortic root replacement with direct leaflet repair illustrates technical considerations for correcting aortic insufficiency and root aneurysm late after a Ross procedure.
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