Autologous Ross operation for congenital aortic stenosis

Pediatr Cardiol. Nov-Dec 2006;27(6):750-4. doi: 10.1007/s00246-006-1060-6. Epub 2006 Oct 9.

Abstract

Congenital aortic stenosis is a relatively common cardiac anomaly encountered in approximately 5% of all children with heart disease. The Ross procedure is increasingly used for replacement of the aortic valve in children. We report a 12-year-old boy who was born with congenital aortic stenosis secondary to a bicommissural aortic valve. The patient underwent open valvotomy in infancy and aortic valvuloplasty 2 years later. Residual/recurrent stenosis prompted referral for aortic valve replacement, and he underwent an autologous Ross procedure, in which the aortic root was replaced with a pulmonary autograft and the repaired aortic valve was used to restore right ventricular-to-pulmonary artery continuity. The postoperative course was unremarkable. Nitroprusside, esmolol, and labetolol were used to control postoperative hypertension. He was discharged 4 days after surgery on oral furosemide and aspirin, and he has had no cardiovascular symptoms during follow-up. Recent echocardiography demonstrated mild right ventricular outflow tract obstruction with a peak velocity of 3.6 m/sec, with a gradient of 42 mmHg and moderate pulmonary insufficiency. There was no left ventricular outlet tract obstruction or aortic insufficiency.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Aortic Valve / abnormalities
  • Aortic Valve / surgery*
  • Aortic Valve Stenosis / congenital*
  • Aortic Valve Stenosis / surgery*
  • Blood Vessel Prosthesis Implantation
  • Child
  • Heart Valve Prosthesis Implantation / methods*
  • Humans
  • Male
  • Transplantation, Autologous