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Case Reports

Ross Procedure With a Composite Autograft Using Stretch Gore-Tex Material

^a Department of Surgery, University of Texas Medical Branch in Galveston, Galveston, Texas
^b Department of Radiology, University of Texas Medical Branch in Galveston, Galveston, Texas

Accepted for publication June 30, 2009.

^_* Address correspondence to Dr Kollar, University of Texas Medical Branch, Department of Surgery, 301 University Blvd, John Sealy Annex 6.120, Galveston, TX 77555-0528 (Email: ankollar{at}utmb.edu).

In an attempt to allow physiologic expansion of the pulmonary autograft, yet limit late root dilation, we used stretch Gore-Tex material (W. L. Gore & Assoc, Flagstaff, AZ) as an external wrap. Follow-up cardiac computed tomography with reconstructed three-dimensional and dynamic images confirmed normal "triple bulge" sinus Valsalva geometry and preserved natural systolic expansion of the neoaortic root.