The Ross inclusion Dacron graft.

Abstract

We present the case of a twenty-eight-year-old male with severe aortic stenosis and mean gradient across the aortic valve (AV) of 52 mmHg, due to a calcified congenital unicuspid AV. The patient was asymptomatic, without significant past medical history, and clean coronaries. Due to extensive AV calcifications, AV repair was not feasible, and Ross procedure was indicated. Echocardiography identified a dilated aortic annulus of 28 mm; the aortic root and ascending aorta were 34 and 40 mm in diameter, respectively. Following our treatment strategy for Ross procedure, Dacron-graft inclusion was the preferred technique because of young age and the dilated aortic annulus and ascending aorta.