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Ann Thorac Surg 2005;79:2150-2151
© 2005 The Society of Thoracic Surgeons

Case report

Pulmonary Autograft for Mitral Valve Replacement in Infants: The Ross-Kabbani Operation

Alessandro Frigiola, MDa,*, Toni Badia, MDa, Giuseppe Pomè, MDa, Vlasta Fesslova, MDa, Maria Giovanna Russo, MDb, Carola Iacono, MDb, Umberto Squarcia, MDc, Marisa Di Donato, MDd

a Centro Cardiovascolare Malan, Istituto Policlinico San Donato, San Donato Milanese, Italy
b Divisione Cardiologia Pediatrica, II Università di Napoli, Napoli, Italy
c Istituto di Clinica Pediatrica, Universita’ di Parma, Parma, Italy
d Dipartimento Area Critica Medico Chirurgica, Università degli Studi di Firenze, Firenze, Italy

Accepted for publication November 25, 2003.

* Address reprint requests to Dr Frigiola, Centro Cardiovascolare Malan, Istituto Policlinico San Donato, San Donato Milanese, Italy (E-mail: alfrigio{at}tin.it).

We describe the cases of 2 infants aged 6 and 21/2 months, respectively, affected by mitral valve dysplasia that caused severe valvular insufficiency and heart failure in which a surgical correction was indicated because of critical general conditions. In both patients the anatomic characteristics of the valves were not suitable for repair, and an implant of a mechanical prosthesis was excluded because of the very young age of the infants and the impossibility of maintaining an adequate anticoagulant therapy. Therefore a Ross-Kabbani intervention was performed with an implant of a pulmonary autograft (in the mitral position) and an insertion of a pulmonary homograft. The postoperative course was free of major complications and good function of the autograft was present at short-term follow-up in both cases.




This article has been cited by other articles:


Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. Kabbani, H. Jamil, F. Nabhani, A. Hamoud, K. Katan, N. Sabbagh, A. Koudsi, L. Kabbani, and G. Hamed
Analysis of 92 mitral pulmonary autograft replacement (Ross II) operations.
J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 902 - 908.e7.
[Abstract] [Full Text] [PDF]


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