Pulmonary autograft for mitral valve replacement in infants: the Ross-Kabbani operation.
We describe the cases of 2 infants aged 6 and 2 1/2 months, respectively, affected by mitral valve dysplasia that caused severe valvular insufficiency and heart failure in which a surgical correction was indicated because of critical general conditions. In both patients the anatomic characteristics of the valves were not suitable for repair, and an implant of a mechanical prosthesis was excluded because of the very young age of the infants and the impossibility of maintaining an adequate anticoagulant therapy. Therefore a Ross-Kabbani intervention was performed with an implant of a pulmonary autograft (in the mitral position) and an insertion of a pulmonary homograft. The postoperative course was free of major complications and good function of the autograft was present at short-term follow-up in both cases.
Frigiola
Alessandro
A
Centro Cardiovascolare Malan, Istituto Policlinico San Donato, San Donato Milanese, Italy. alfrigio@tin.it
Badia
Toni
T
Pomè
Giuseppe
G
Fesslova
Vlasta
V
Russo
Maria Giovanna
MG
Iacono
Carola
C
Squarcia
Umberto
U
Di Donato
Marisa
M
D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass; D006801:Humans; D007223:Infant; D008297:Male; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000601:surgery*; D011664:Pulmonary Valve / Q000637:transplantation*; D014182:Transplantation, Autologous; D016896:Treatment Outcome