title: Modified Ross procedure with stentless bioprosthesis and pericardial xenograft for the right ventricular outflow tract. Usefulness of autologous pericardial patch for hemostasis.
abstract: A 31-year-old man with severe aortic regurgitation due to a defective bicuspid valve underwent surgery using modified Ross procedure. The right ventricular outflow tract (RVOT) was reconstructed with a 25 mm stentless xenograft valve sutured with a rolled equine pericardium. Oozy bleeding from the RVOT was controlled with an autologous pericardial patch and fibrin glue. Postoperative echocardiography showed no aortic regurgitation. No blood transfusion was required.
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan.
authors.forename: Hiroya
authors.initials: H
authors.lastname: Minami
authors.forename: Noboru
authors.initials: N
authors.lastname: Wakita
authors.forename: Takeshi
authors.initials: T
authors.lastname: Mimura
authors.forename: Kyozo
authors.initials: K
authors.lastname: Inoue
authors.forename: Masahiro
authors.initials: M
authors.lastname: Sakata
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Okita
mesh_terms: D000328:Adult; D001022:Aortic Valve Insufficiency / Q000601:surgery; D001705:Bioprosthesis; D013504:Cardiovascular Surgical Procedures / Q000379:methods; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation*; D014182:Transplantation, Autologous; D014183:Transplantation, Heterologous