HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Deleon, S. Y. Articles by Zamora, R. Search for Related Content PubMed PubMed Citation Articles by Deleon, S. Y. Articles by Zamora, R.

European Journal of Cardio-Thoracic Surgery, Vol 9, 631-635, Copyright © 1995 by European Association for Cardio-thoracic Surgery

ARTICLES

Semilunar valve switch in aortic insufficiency

SY Deleon, JA Quinones, DA Vitullo, J Hofstra, EA Fisher, R Gamponia, L Torres, W Lopez and R Zamora
Department of Cardiac Surgery, Loyola University Medical Center, Maywood, Illinois, 60153, USA.

The use of the Ross procedure in young patients is gaining wider acceptance. The need for a foreign pulmonary valve that will require replacement, however, is a serious drawback. To circumvent this problem, we reimplanted the native aortic valve in the pulmonary position in four patients (ages 12, 15, 15 and 17 years old) operated on utilizing the Ross procedure for aortic insufficiency. One patient had congenital and three isolated rheumatic aortic insufficiency. The root replacement technique with coronary artery reimplantation was used. All patients did well initially with marked reduction of left ventricular dilatation and good function of the reimplanted native aortic valve. One patient, however, died a month later from rupture of a false aneurysm that developed at the pulmonary autograft to ascending aorta anastomosis. We feel that the use of the native aortic valve in the pulmonary position makes the Ross procedure more attractive and potentially curative. The diseased aortic valve works well in the pulmonary position because of lower pulmonary artery pressure and resistance.

This article has been cited by other articles:

				P. T. Roughneen, S. Y. DeLeon, B. W. Eidem, N. J. Thomas, F. Cetta, D. A. Vitullo, K. E. Magliato, T. E. Berry, and M. Bakhos Semilunar valve switch procedure: autotransplantation of the native aortic valve to the pulmonary position in the ross procedure Ann. Thorac. Surg., March 1, 1999; 67(3): 745 - 750. [Abstract] [Full Text] [PDF]