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Ann Thorac Surg 2010;90:e23-e24. doi:10.1016/j.athoracsur.2010.05.057
© 2010 The Society of Thoracic Surgeons
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Giovanni Melina
John R. Pepper
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Right arrow Valve disease

Case Reports

Ross Operation in a Patient With Juvenile Rheumatoid Arthritis

Giovanni Melina, PhDa, Mary N. Sheppard, FRCPathb, John R. Pepper, FRCSa,*

a Academic Department of Cardiothoracic Surgery, Royal Brompton Hospital, London, United Kingdom
b CRY Centre for Cardiac Pathology, Royal Brompton Hospital, London, United Kingdom

Accepted for publication May 21, 2010.

* Address correspondence to Prof Pepper, Academic Department of Cardiothoracic Surgery, Royal Brompton Hospital, Sydney St, London SW3 6NP, UK (Email: j.pepper{at}rbht.nhs.uk).

A 32-year-old woman with juvenile rheumatoid arthritis underwent a redo aortic valve replacement 7 years after a Ross procedure for severe aortic valve regurgitation. Interestingly, the cause of autograft failure was not related to the rheumatoid inflammation process.






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