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Modified Ross Procedure for a Young Woman with a Root Abscess on a Bicuspid Aortic Valve: Report of a Case

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DOI: 10.4236/wjcd.2015.58022    1,904 Downloads   2,248 Views  

ABSTRACT

A 19-year-old woman with a bicuspid aortic valve was admitted because of active infective endocarditis with a root abscess. Four weeks of antibiotic therapy achieved negative blood cultures and normalized inflammatory signs; however, echocardiography revealed severe aortic regurgitation through an abscess cavity located at the root. The modified Ross procedure, in which the pulmonary autograft was reinforced with a prosthetic graft to prevent postoperative annular dilation, was successfully performed. The postoperative clinical course was uneventful, and echocardiography performed at 1 year showed trivial aortic regurgitation. Selection of homograft may benefit young woman who wishes to bear children, and covering pulmonary autograft by a prosthetic graft in order to prevent annular dilatation of autograft in patient with bicuspid aortic valve, may be allowed only under negative infection sign.

Conflicts of Interest

The authors declare no conflicts of interest.

Cite this paper

Misumi, Y. , Fujita, T. , Shimahara, Y. , Hata, H. , Kitamura, S. and Kobayashi, J. (2015) Modified Ross Procedure for a Young Woman with a Root Abscess on a Bicuspid Aortic Valve: Report of a Case. World Journal of Cardiovascular Diseases, 5, 199-202. doi: 10.4236/wjcd.2015.58022.

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