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Ann Thorac Surg 1998;66:549-550
© 1998 The Society of Thoracic Surgeons

Case Reports

Alternative to reconstruction of the pulmonary outflow tract in the ross procedure

Kiyofumi Morishita, MD, PhDa, Tomio Abe, MD, PhDa, Johji Fukada, MDa, Hiroki Sato, MD, PhDa, Cikara Shiiku, MDa

a Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan

Accepted for publication February 16, 1998.

Address reprint requests to Dr Morishita, Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-0061, Japan

We report our experience with 2 cases in which we used the native ascending aorta and a porcine valve to reconstruct the right ventricular outflow tract in the Ross procedure. Unfortunately, in many parts of the world, the lack of homografts for reconstruction of the right ventricular outflow tract limits the use of the Ross procedure. The technique described herein can be an alternative to a cryopreserved pulmonary homograft replacement for adult patients.




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