A Case of Ross Procedure for Aortic Regurgitation due to Prolapse of a Right Coronary Cusp Caused by Natural Closure of Ventricular Septal Defect
- VernacularTitle:心室中隔欠損症の自然閉鎖が原因と考えられる右冠尖変形による大動脈弁閉鎖不全症に対するRoss手術の1例
- Author:
Nobuyuki YOSHITANI
1
;
Hiroyuki HAYASHI
1
;
Ahn Kun TAE
1
;
Takuya MISATO
1
;
Taro HAYASHI
1
;
Yutaka OKITA
2
Author Information
- Keywords: ventricular septal defect; aortic regurgitation; ross procedure
- From:Japanese Journal of Cardiovascular Surgery 2024;53(3):119-122
- CountryJapan
- Language:Japanese
- Abstract: A 44-year-old man had been pointed out to have a heart murmur during his elementary school days. He came to us complaining of chest pain and palpitation. He was diagnosed to have severe aortic regurgitation caused by prolapse of the right coronary cusp, and the left ventricular function was depressed. At surgery, the aortic valve was repaired with the RCC resuspension technique, but regurgitation was not controlled because the RCC annulus was retracted by natural supracristal closure of the ventricular septal defect. We proceeded to the Ross procedure. A pulmonary autograft was harvested and sewed in the aortic annulus. The right ventricular outflow tract was reconstructed using a stentless bioprosthetic valve with glutaraldehyde-treated bovine pericardium. He was discharged after a straightforward postoperative course.
