title: Pulmonary autograft for mitral valve replacement in infants: the Ross-Kabbani operation.
abstract: 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.
authors.affiliation: Centro Cardiovascolare Malan, Istituto Policlinico San Donato, San Donato Milanese, Italy. alfrigio@tin.it
authors.forename: Alessandro
authors.initials: A
authors.lastname: Frigiola
authors.forename: Toni
authors.initials: T
authors.lastname: Badia
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Pomè
authors.forename: Vlasta
authors.initials: V
authors.lastname: Fesslova
authors.forename: Maria Giovanna
authors.initials: MG
authors.lastname: Russo
authors.forename: Carola
authors.initials: C
authors.lastname: Iacono
authors.forename: Umberto
authors.initials: U
authors.lastname: Squarcia
authors.forename: Marisa
authors.initials: M
authors.lastname: Di Donato
mesh_terms: 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