The Ross-Konno Procedure as Reoperative Treatment in a Young Adult with Congenital Aortic Stenosis
DOI:
https://doi.org/10.1532/HSF98.20111091Abstract
Mechanical and biological prostheses are valid options when aortic valve replacement is necessary. The Ross procedure is also an alternative solution, especially for young patients.
We describe the case of a young patient with congenital aortic stenosis and bicuspid aortic valve who presented with dyspnea on exertion. An open commissurotomy was performed, and within 8 months the patient developed recurrent symptoms of severe aortic stenosis. He underwent redo sternotomy and a Ross-Konno procedure with an uneventful recovery.
References
Carrel TP, Berdat P, Englberger L, et al. 2003. Aortic root replacement with a new stentless aortic valve xenograft conduit: preliminary hemodynamic and clinical results. J Heart Valve Dis 12:752-7.nConcha M, Aranda PJ, Casares J, et al. 2004. The Ross procedure. J Card Surg 19:401-9.nDavid TE, Omran A, Ivanov J, et al. 2000. Dilation of the pulmonary autograft after the Ross procedure. J Thorac Cardiovasc Surg 119:210-20.nDoss M, Wood JP, Martens S, Wimmer-Greinecker G, Moritz A. 2005. Do pulmonary autografts provide better outcomes than mechanical valves? A prospective randomized trial. Ann Thorac Surg 80:2194-8.nElkins RC, Knott-Craig CJ, Ward KE, Lane MM. 1998. The Ross operation in children: 10-year experience. Ann Thorac Surg 65:496-502.nForbess JM, Shah AS, St Louis JD, Jaggers JJ, Ungerleider RM. 2001. Cryopreserved homografts in the pulmonary position: determitants of durability. Ann Thorac Surg 71:54-60.nGeens M, Gonzalez-Lavin L, Dawborn C, Ross DN. 1971. The surgical anatomy of the pulmonary artery root in relation to the pulmonary valve autografts and surgery of the right ventrucylar outflow tract. J Thorac Cardiovasc Surg 62:262-7.nGerosa G, McKay R, Davies J, Ross DN. 1991. Comparison of the aortic homograft and the pulmonary autograft of the aortic valve or root replacement in children. J Thorac Cardiovasc Surg 102:51-61.nHraska V, Krajci M, Haun Ch, et al. 2004. Ross and Ross-Konno procedure in children and adolescents: mid-term results. Eur J Cardiothorac Surg 25:742-7.nJaggers J, Harrison JK, Bashore TM, Davis RD, Glower DD, Ungerleider RM. 1998. The Ross procedure: shorter hospital stay, decreased morbidity, and cost effective. Ann Thorac Surg 65:1553-8.nKonno S, Imai Y, Iida Y, Nakajima M, Tatsuno K. 1975. A new method for prosthetic valve replacement in congenital aortic stenosis associated with hypoplasia of the aortic valve ring. J Thorac Cardiovasc Surg 70:909-17.nKouchoukos NT, Dávila-Román VG, Spray TL, Murphy SF, Perillo JB. 1994. Replacement of the aortic root with a pulmonary autograft in children and young adults with aortic-valve disease. N Engl J Med 330:1-6.nKouchoukos NT, Masetti P, Nickerson NJ, Castner CF, Shannon WD, Dávila-Román VG. 2004. The Ross procedure: long-term clinical and echocardiographic follow-up. Ann Thorac Surg 78:773-81.nLuciani GB, Favaro A, Casali G, Santini F, Mazzucco A. 2005. Ross operation in the young: a ten-year experience. Ann Thorac Surg 80:2271-7.nPibarot P, Dumesnil JG, Briand M, Laforest I, Cartier P. 2000. Hemodynamic performance during maximum exercise in adult patients with the Ross operation and comparison with normal controls and patients with aortic bioprostheses. Am J Cardiol 86:982-8.nRaja SG, Pozzi M. 2004. Ross operation in children and young adults: the Alder Hey case series. BMC Cardiovasc Disord 4:3.nRoss DN. 1967. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet 2:956-8.nRoss DN. 1994. Aortic root replacement with a pulmonary autograft—current trends. J Heart Valve Dis 3:358-60.nSkillington PD, Fuller JA, Grigg LE, Yapanis AG, Porter GF. 1999. Ross procedure. Inserting the autograft using fully supported root replacement method: techniques and results. J Heart Valve Dis 8:593-600.n
