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

Yusuke Misumi, Tomoyuki Fujita^*, Yusuke Shimahara, Hiroki Hata, Soichiro Kitamura, Junjiro Kobayashi

Department of Cardiovascular Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan.

DOI: 10.4236/wjcd.2015.58022                

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.

Keywords

Ross Procedure, Endocarditis, Homograft, Bicuspid Aortic Valve

Conflicts of Interest

The authors declare no conflicts of interest.

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