title: Surgical repair of aortic dissection 16 years post-Ross procedure.
abstract: The Ross procedure is an excellent choice for younger patients in need of aortic valve replacement. While patients have benefited from superior survival rates associated with this procedure, complications related to aortic root dilatation and degeneration of the autograft may be encountered later in life. These challenges may be exacerbated in those with underlying connective tissue abnormalities, a phenomenon commonly observed in the bicuspid aortic valve population. In this report, we present the case of a patient who presented with an aortic dissection 16 years after a Ross procedure for aortic insufficiency in the setting of a bicuspid aortic valve, and review the existing literature related to this adverse event.
authors.affiliation: Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Mollie R
authors.initials: MR
authors.lastname: Myers
authors.affiliation: Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: J Trent
authors.initials: JT
authors.lastname: Magruder
authors.affiliation: Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Todd C
authors.initials: TC
authors.lastname: Crawford
authors.affiliation: Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Grimm
authors.affiliation: Department of Pathology, Division of Cardiovascular Pathology, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: Marc K
authors.initials: MK
authors.lastname: Halushka
authors.affiliation: Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
authors.forename: William A
authors.initials: WA
authors.lastname: Baumgartner
authors.affiliation: Division of Cardiac Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA, dcameron@jhmi.edu.
authors.forename: Duke E
authors.initials: DE
authors.lastname: Cameron