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Right arrow Congenital - acyanotic

Ann Thorac Surg 2005;80:330-331
© 2005 The Society of Thoracic Surgeons

Case report

Ross Procedure and Ventricular Septal Defect Correction With Prolapsed Cusp

Roberto Rocha-e-Silva, MD, PhDa,*, Pablo M.A. Pomerantzeff, MD, PhDa, Robinson T. Munhoz, MD, PhDb, Domingos D. Lourenço Filho, MD, PhDa, Luiz F. Canêo, MD, PhDa, Sérgio A. de Oliveira, MD, PhDa

a Division of Surgery, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil
b Division of Cardiology, Heart Institute (InCor), University of São Paulo Medical School, São Paulo, Brazil

Accepted for publication December 29, 2003.

* Address reprint requests to Dr Rocha-e-Silva, R. Leonor Pinheiro da Silva 133, Parque do Colégio, Jundiaí, CEP 13209130, São Paulo, Brazil (Email: rors{at}terra.com.br).

We present the case of an asymptomatic 31-year-old man with perimembranous ventricular septal defect and aortic insufficiency due to a prolapsed right cusp. The ventricular septal defect was corrected with the rotation of the right cusp, and the Ross procedure was performed for the aortic insufficiency. The patient had an uneventful postoperative course. At immediate and first year follow-up examinations he presented with trivial aortic insufficiency and no residual ventricular septal defect. The patient remains asymptomatic with no medication.






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