Use of the Native Aortic Valve as the Pulmonary Valve in the Ross Procedure.
- Author:
Chan Young RA
1
;
Young Thak LEE
;
Soo Chul KIM
;
Sam Se OH
;
Wook Sung KIM
;
Cheol Hyun CHUNG
;
Do Hyun JUNG
;
Woong Han KIM
;
Chang Ha LEE
;
Hong Joo JEON
;
Young Kwhan PARK
;
Chong Whan KIM
;
Sung Nok HONG
;
Hyun Soo MUN
Author Information
1. Department of Thorac and Cardiovascular Surgery Sejong General Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Transplantation, autologous;
Aortic valve;
replacment;
Ventricular outflow tract;
right
- MeSH:
Aortic Valve*;
Female;
Humans;
Pulmonary Artery;
Pulmonary Valve*;
Reoperation;
Transplantation, Autologous;
Young Adult
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
1998;31(12):1222-1225
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Aortic valve replacement in young patients has its problems. Biologic prosthetic valves degenerate and need replacement. Metalic prosthetic valves are more durable, however, anticoagulation which has its inherent problems is inevitable. The use of Ross procedure in young patients is gaining wider acceptance. The need of foreign pulmonary valve in right ventricular outflow tract (RVOT) will require reoperation due to RVOT obstruction, later. To overcome this problem, we reimplanted the native aortic valve in the pulmonary position in 21 year old female patient operated on utilizing the Ross procedure for aortic insufficiency. We experienced that the diseased aortic valve worked well in the pulmoanry position because of low pulmonary artery pressure and resistance.