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Ann Thorac Surg 1996;61:1145
© 1996 The Society of Thoracic Surgeons

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Discussion

Discussion

The first 20% of the full text of this article appears below.

See also page 1141.

DR CLINTON E. BAISDEN (Temple, TX):

In June of this year I did a Ross procedure on a 31-year-old man, who did fine after his operation until 6 weeks later when severe aortic insufficiency suddenly developed. Transesophageal echocardiography at the completion of his operation showed only trace aortic insufficiency, but now the echocardiogram suggested dilatation of his annulus.

After talking with Dr Elkins and some others, I proceeded to operate on the patient and, to my surprise, did not find annular dilatation, but a hole in the leaflet of his left coronary cusp about 4 by 5 mm in diameter. I was able to take a piece of his own pericardium to patch this and he has done well.

The point I want to make is that even though severe insufficiency may develop after the Ross procedure, it may be possible to correct it without too much difficulty.

Also, the pulmonary valve leaflets looked so delicate originally one wondered how they would ever hold up . . . [Full Text of this Article]

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Ann. Thorac. Surg. 1996 61: 1141-1145. [Abstract] [Full Text]

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