Stenting of a stenotic aortic homograft in pulmonary position after the Ross procedure

Hellenic J Cardiol. 2006 Jul-Aug;47(4):247-50.

Abstract

Pulmonary autograft replacement of the aortic valve (Ross procedure) has potential advantages, with favorable rates of survival and freedom from reoperation. The procedure itself, however, involves insertion of a homograft in the pulmonary position. The development of severe homograft stenosis is an uncommon but clinically important complication. We report the case of a young female who developed a symptomatic homograft stenosis a year after she underwent the Ross procedure. The lesion was stented successfully and the homograft's patency, together with a markedly improved pressure gradient, was still maintained eight months after percutaneous stenting.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Valve / transplantation*
  • Cardiac Surgical Procedures*
  • Female
  • Humans
  • Hypertrophy, Right Ventricular / surgery
  • Pulmonary Valve Stenosis / diagnosis*
  • Pulmonary Valve Stenosis / diagnostic imaging
  • Pulmonary Valve Stenosis / physiopathology
  • Pulmonary Valve Stenosis / surgery*
  • Radiography
  • Reoperation
  • Stents*
  • Transplantation, Homologous
  • Tricuspid Valve Insufficiency / surgery
  • Ultrasonography
  • Vascular Patency