title: Successful Repair of a Bicuspid Pulmonary Autograft Valve Causing Early Insufficiency After a Ross Procedure.
abstract: The Ross procedure is an excellent option in terms of long-term outcomes for young patients requiring aortic valve replacement. We report the case of a 49-year-old woman who presented with worsening dyspnea and episodes of presyncope in the context of a patient-prosthesis mismatch, 13 years after mechanical aortic valve replacement. She underwent a Ross procedure despite the pulmonary valve being bicuspid at intraoperative examination. Following implantation, the autograft valve showed an eccentric jet of regurgitation requiring bicuspid valve repair. To our knowledge, this is the first reported case of successful repair of a bicuspid pulmonary autograft valve.
authors.affiliation: Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada; Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, Pavia University School of Medicine, Pavia, Italy.
authors.forename: Nicola
authors.initials: N
authors.lastname: Vistarini
authors.affiliation: Department of Anaesthesia, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Caroline
authors.initials: C
authors.lastname: Gebhard
authors.affiliation: Department of Anaesthesia, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada.
authors.forename: Georges
authors.initials: G
authors.lastname: Desjardins
authors.affiliation: Department of Cardiac Surgery, Montreal Heart Institute, Université de Montréal, Montreal, Quebec, Canada. Electronic address: i.elhamamsy@icm-mhi.org.
authors.forename: Ismail
authors.initials: I
authors.lastname: El-Hamamsy
mesh_terms: D001021:Aortic Valve / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000000981:diagnostic imaging / Q000601:surgery*; D064592:Autografts; D017548:Echocardiography, Transesophageal; D005260:Female; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D008875:Middle Aged; D011475:Prosthesis Failure; D011664:Pulmonary Valve / Q000637:transplantation*; D012086:Reoperation / Q000379:methods; D013997:Time Factors