Author/Authors :
Kiyoyuki Eishi MD، نويسنده , , Shunsuke Nakajima MD، نويسنده , , Kiyoharu Nakano MD، نويسنده , , Yoshio Kosakai MD، نويسنده , , Norifumi Nakanishi MD، نويسنده , , Toshikatsu Yagihara MD، نويسنده , , Shinichi Takamoto MD، نويسنده ,
Abstract :
The application of the pulmonary autograft (Ross) procedure in the treatment of dilated aortic annulus is still controversial, because technical errors of implantation are more likely to occur as the host annular diameter increases. The Ross procedure was successfully employed in a 28-year-old woman with a dilated aortic annulus after simple annular plication. The annulus was plicated beneath the three commissures where the pulmonary autograft was subsequently attached. The diameter of the annulus was reduced from 32 to 26 mm. This technique may provide a number of advantages compared with aortic valve replacement, especially for women of child-bearing age.