Total autologous Ross procedure in a child with aortic root abscess


Yalcinbas Y. K. , Erek E., Sarioglu A., Sarioglu T.

JOURNAL OF CARDIAC SURGERY, vol.21, no.5, pp.475-477, 2006 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Editorial Material
  • Volume: 21 Issue: 5
  • Publication Date: 2006
  • Doi Number: 10.1111/j.1540-8191.2006.00280.x
  • Title of Journal : JOURNAL OF CARDIAC SURGERY
  • Page Numbers: pp.475-477

Abstract

Background and aim of the study: Endocarditis with aortic root abscess is one of the most complicated surgical problems. Methods: An 8-year-old girl was presented with dyspnea, high fever, and fatigue. She had stenotic bicuspid aortic valve with endocarditis and aortic root abscess. Ross procedure was performed with fresh autologous pericardial tube and pericardial monocusp valve. Right internal mammary artery to right coronary artery bypass was also done due to destructed right coronary artery ostium. Results: Four years after the operation she is in excellent clinical condition without medications. Echocardiography reveals mild autograft regurgitation and mildly stenotic right ventricular outflow tract. Conclusions: If homografts are not available, total reconstruction of RVOT with autologous fresh pericardium may offer reasonable early and mid-term results especially when active endocarditis and aortic root abscess is involved.