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


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.

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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.

Conflicts of Interest

The authors declare no conflicts of interest.


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