HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Thoralf M. Sundt Marc R. Moon Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Sundt, T. M. Articles by Xu, H. Search for Related Content PubMed PubMed Citation Articles by Sundt, T. M. Articles by Xu, H. Related Collections Valve disease

J Thorac Cardiovasc Surg 2001;122:1249-1252
© 2001 The American Association for Thoracic Surgery

Brief Communications

Reoperation for dilatation of the pulmonary autograft after the Ross procedure

From the Division of Cardiothoracic Surgery, Department of Surgery,^a and the Department of Pathology,^b Washington University, St Louis, Mo.

Received for publication Feb 28, 2001. Accepted for publication April 6, 2001. Address for reprints: Thoralf M. Sundt, MD, Mayo Clinic, 200 First St SW, Rochester, MN 55905.

The pulmonary autograft or "Ross procedure" offers hope for a durable, anticoagulant-free replacement option for a dysfunctional aortic valve. As a viable graft, it has the potential for growth. The distinction between growth and passive dilatation, however, may be problematic. We recently encountered a case that graphically demonstrated dilatation of the wall of the autograft both radiologically and grossly.

Clinical summary

A 19-year-old man with a history of aortic regurgitation caused by a bicuspid aortic valve had undergone a Ross procedure at age 13 years. The inflow suture line of the pulmonary autograft had not been reinforced with felt. A 24-mm pulmonary allograft valve had been placed in the pulmonic position. At recent echocardiographic follow-up, asymptomatic dilatation of the neo-aortic root without valvular regurgitation or stenosis was identified. Magnetic resonance imaging demonstrated dilatation of the neo-aortic root to 6.4 cm with a sharp transition to normal diameter (Figure 1). The pulmonic allograft was functioning normally.

View larger version (76K): [in this window] [in a new window]   Fig. 1. Magnetic resonance images of the neo-aortic root demonstrating dilatation of the pulmonary . . . [Full Text of this Article]

This article has been cited by other articles:

				L. de Kerchove, M. Boodhwani, P.-Y. Etienne, A. Poncelet, D. Glineur, P. Noirhomme, J. Rubay, and G. El Khoury Preservation of the pulmonary autograft after failure of the Ross procedure Eur J Cardiothorac Surg, September 1, 2010; 38(3): 326 - 332. [Abstract] [Full Text] [PDF]

				F. Juthier, C. Banfi, A. Vincentelli, P. V. Ennezat, T. Le Tourneau, C. Pincon, and A. Prat Modified Ross operation with reinforcement of the pulmonary autograft: Six-year results J. Thorac. Cardiovasc. Surg., June 1, 2010; 139(6): 1420 - 1423. [Abstract] [Full Text] [PDF]

				G. B. Luciani, F. Viscardi, M. Pilati, A. M. Prioli, G. Faggian, and A. Mazzucco The Ross-Yacoub procedure for aneurysmal autograft roots: A strategy to preserve autologous pulmonary valves J. Thorac. Cardiovasc. Surg., March 1, 2010; 139(3): 536 - 542. [Abstract] [Full Text] [PDF]

				B. Chiappini, B. Absil, J. Rubay, P. Noirhomme, J.-C. Funken, R. Verhelst, A. Poncelet, and G. El Khoury The Ross Procedure: Clinical and Echocardiographic Follow-Up in 219 Consecutive Patients Ann. Thorac. Surg., April 1, 2007; 83(4): 1285 - 1289. [Abstract] [Full Text] [PDF]

				D. C. Miller Valve-Sparing Aortic Root Replacement: Current State of the Art and Where Are We Headed? Ann. Thorac. Surg., February 1, 2007; 83(2): S736 - S739. [Full Text] [PDF]

				N. Watanabe, S. Saito, H. Saito, and H. Kurosawa Valve-sparing aortic root replacement with repair of leaflet prolapse after Ross operation Interact CardioVasc Thorac Surg, February 1, 2007; 6(1): 89 - 91. [Abstract] [Full Text] [PDF]

				G. B. Luciani, A. Favaro, F. Viscardi, P. Bertolini, and A. Mazzucco Valve-sparing root replacement for pulmonary autograft dissection late after the Ross operation J. Thorac. Cardiovasc. Surg., November 1, 2004; 128(5): 753 - 756. [Full Text] [PDF]

				G. B. Luciani, G. Casali, A. Favaro, M. A. Prioli, L. Barozzi, F. Santini, and A. Mazzucco Fate of the Aortic Root Late After Ross Operation Circulation, September 9, 2003; 108(2011): II-61 - II-67. [Abstract] [Full Text] [PDF]

				P. Masetti, V. A. Davila-Roman, and N. T. Kouchoukos Valve-sparing procedure for dilatation of the autologous pulmonary artery and ascending aorta after the Ross operation Ann. Thorac. Surg., September 1, 2003; 76(3): 915 - 916. [Abstract] [Full Text] [PDF]

				T. Ishizaka, E. J. Devaney, S. R. Ramsburgh, T. Suzuki, R. G. Ohye, and E. L. Bove Valve sparing aortic root replacement for dilatation of the pulmonary autograft and aortic regurgitation after the Ross procedure Ann. Thorac. Surg., May 1, 2003; 75(5): 1518 - 1522. [Abstract] [Full Text] [PDF]

				D. C. Miller Valve-sparing aortic root replacement in patients with the Marfan syndrome J. Thorac. Cardiovasc. Surg., April 1, 2003; 125(4): 773 - 778. [Full Text] [PDF]

				P. Stelzer Reoperation for dilatation of the pulmonary autograft after the Ross procedure J. Thorac. Cardiovasc. Surg., August 1, 2002; 124(2): 417 - 418. [Full Text] [PDF]