Successful aortic root remodeling for repair of a dilated pulmonary autograft after a Ross-Konno procedure in early childhood.
We report a case of successful reoperation for pulmonary autograft root dilatation causing severe regurgitation after a Ross-Konno procedure in an infant. The procedure consisted of reduction of the circumference of the sinotubular junction and the autograft annulus. This technique is an effective alternative to prolong the transition period after a Ross procedure prior to other definitive surgeries, such as valve-sparing aortic root replacement or prosthetic valve replacement, which are preferably avoided at this young age.
Nemoto
Shintaro
S
Cardiac Surgery Unit, Royal Children's Hospital, Parkville, Victoria, Australia.
Sudarshan
Catherine
C
Brizard
Christian P R
CP
D001013:Aorta, Thoracic / Q000002:abnormalities* / Q000601:surgery*; D001021:Aortic Valve / Q000002:abnormalities* / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000209:etiology*; D002315:Cardiopulmonary Bypass / Q000009:adverse effects*; D002675:Child, Preschool; D004108:Dilatation, Pathologic / Q000209:etiology / Q000601:surgery; D006345:Heart Septal Defects, Ventricular / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012086:Reoperation; D014182:Transplantation, Autologous / Q000009:adverse effects; D016896:Treatment Outcome