Total autologous Ross procedure in a child with aortic root abscess.
OBJECTIVE
Endocarditis with aortic root abscess is one of the most complicated surgical problems.


METHODS
An 8-year-old girl presented with dyspnea, high fever, and fatigue. She had stenotic bicuspid aortic valve with endocarditis and aortic root abscess. Ross procedure was performed with fresh autologous pericardial tube and pericardial monocusp valve. Right internal mammary artery to right coronary artery bypass was also done due to destroyed right coronary artery ostium.


RESULTS
Four years after the operation she is in excellent clinical condition without medications. Echocardiography reveals mild autograft regurgitation and mildly stenotic right ventricular outflow tract.


CONCLUSIONS
If homografts are not available, total reconstruction of RVOT with autologous fresh pericardium may offer reasonable early and mid-term results especially when active endocarditis and aortic root abscess is involved.
Yalcinbas
Yusuf Kenan
YK
Acibadem Heart Center, Department of Cardiovascular Surgery, Acibadem Bakirkov Hospital, Istanbul, Turkey.
Erek
Ersin
E
Sarioglu
Ayse
A
Sarioglu
Tayyar
T
D000038:Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002315:Cardiopulmonary Bypass; D002648:Child; D004452:Echocardiography; D004697:Endocarditis, Bacterial / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008946:Mitral Valve Stenosis / Q000601:surgery; D016459:Prosthesis-Related Infections / Q000150:complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011664:Pulmonary Valve / Q000637:transplantation; D012086:Reoperation; D014182:Transplantation, Autologous