title: Stenting of a stenotic aortic homograft in pulmonary position after the Ross procedure.
abstract: Pulmonary autograft replacement of the aortic valve (Ross procedure) has potential advantages, with favorable rates of survival and freedom from reoperation. The procedure itself, however, involves insertion of a homograft in the pulmonary position. The development of severe homograft stenosis is an uncommon but clinically important complication. We report the case of a young female who developed a symptomatic homograft stenosis a year after she underwent the Ross procedure. The lesion was stented successfully and the homograft's patency, together with a markedly improved pressure gradient, was still maintained eight months after percutaneous stenting.
authors.affiliation: Cardiology Department, Larnaka General Hospital, Larnaka, Cyprus. georgemgeo@freemail.gr
authors.forename: Georgios M
authors.initials: GM
authors.lastname: Georgiou
authors.forename: Theodoros A
authors.initials: TA
authors.lastname: Christodoulides
authors.forename: Marios A
authors.initials: MA
authors.lastname: Ioannides
authors.forename: Polyvios A
authors.initials: PA
authors.lastname: Konis
authors.forename: Michalis K
authors.initials: MK
authors.lastname: Tsielepis
authors.forename: Evagoras P
authors.initials: EP
authors.lastname: Nicolaides
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000637:transplantation*; D006348:Cardiac Surgical Procedures; D005260:Female; D006801:Humans; D017380:Hypertrophy, Right Ventricular / Q000601:surgery; D011666:Pulmonary Valve Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D012086:Reoperation; D015607:Stents; D014184:Transplantation, Homologous; D014262:Tricuspid Valve Insufficiency / Q000601:surgery; D014463:Ultrasonography; D014654:Vascular Patency