Ross procedure with a composite autograft using stretch Gore-Tex material.
In an attempt to allow physiologic expansion of the pulmonary autograft, yet limit late root dilation, we used stretch Gore-Tex material (W. L. Gore & Assoc, Flagstaff, AZ) as an external wrap. Follow-up cardiac computed tomography with reconstructed three-dimensional and dynamic images confirmed normal "triple bulge" sinus Valsalva geometry and preserved natural systolic expansion of the neoaortic root.
Kollar
Andras C
AC
Department of Surgery, University of Texas Medical Branch in Galveston, Galveston, Texas 77555-0528, USA. ankollar@utmb.edu
Lick
Scott D
SD
Palacio
Diana M
DM
Johnson
Raleigh F
RF
D000328:Adult; D000792:Angiography; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D001672:Biocompatible Materials; D001807:Blood Vessel Prosthesis; D017548:Echocardiography, Transesophageal; D005465:Fluorocarbon Polymers; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011651:Pulmonary Artery / Q000601:surgery*; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed; D014182:Transplantation, Autologous
D001672:Biocompatible Materials; D005465:Fluorocarbon Polymers; C010946:polytetrafluoroethane