Annals of cardiothoracic surgery | 2021
Valve-sparing procedure for a dilated pulmonary autograft.
Abstract
This thirty-nine-year-old male underwent a Ross procedure ten years ago as the primary cardiac operation. He presented with exercise-induced dyspnea, reduced left ventricular ejection fraction and aortic regurgitation of the pulmonary autograft. The preoperative echocardiogram showed dilatation of the sinuses and sinotubular junction (STJ). Reoperation was necessary for prognostic reasons. Due to his age and preference regarding anticoagulation, repair of the autograft, including root replacement appeared to be the best solution.