Modified Ross procedure with stentless bioprosthesis and pericardial xenograft for the right ventricular outflow tract. Usefulness of autologous pericardial patch for hemostasis.
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.
Minami
Hiroya
H
Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan.
Wakita
Noboru
N
Mimura
Takeshi
T
Inoue
Kyozo
K
Sakata
Masahiro
M
Okita
Yutaka
Y
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