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Shintaro Nemoto
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Christian P. R. Brizard
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Ann Thorac Surg 2004;78:e45-e47
© 2004 The Society of Thoracic Surgeons


Case report

Successful aortic root remodeling for repair of a dilated pulmonary autograft after a ross-Konno procedure in early childhood

Shintaro Nemoto, MD, PhDa, Catherine Sudarshan, MD, FRCSa, Christian P. R. Brizard, MDa,*

a Cardiac Surgery Unit, Royal Children's Hospital, Parkville, Victoria, Australia

Accepted for publication February 3, 2004.

* Address reprint requests to Dr Brizard, Department of Cardiac Surgery, Royal Children's Hospital, Flemington Rd, Parkville, Victoria 3052, Australia
christian.brizard{at}rch.org.au

We report a case of successful reoperation for pulmonary autograft root dilatation causing severe regurgitation after a Ross-Konno procedure in an infant. The procedure consisted of reduction of the circumference of the sinotubular junction and the autograft annulus. This technique is an effective alternative to prolong the transition period after a Ross procedure prior to other definitive surgeries, such as valve-sparing aortic root replacement or prosthetic valve replacement, which are preferably avoided at this young age.







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