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[Ross procedure in a patient with mitro-aortic endocarditis]
Domenico Paparella1, Daniele De Viti2, Giuseppe Visicchio3
1Sezione di Cardiochirurgia, Dipartimento di Scienze Mediche e Chirurgiche, Università degli Studi, Foggia - U.O.C. Cardiochirurgia, Ospedale Santa Maria, GVM Care & Research, Bari.
Giornale Italiano Di Cardiologia (2006)
|March 28, 2022
Summary
Infective endocarditis (IE) of the aortic valve can be complex. The Ross procedure, a surgical technique, was successfully used in a challenging case, offering a potential solution for severe valve damage.
Area of Science:
- Cardiovascular Surgery
- Infectious Diseases
- Cardiac Valve Disease
Background:
- Infective endocarditis (IE) poses significant mortality risks, particularly affecting heart valves.
- Aortic valve IE often necessitates valve replacement, with the Ross procedure showing promise but limited adoption.
- The Ross procedure involves using pulmonary autografts for aortic valve replacement.
Observation:
- A complex case of mitro-aortic IE was observed in a 28-year-old patient.
- The patient had a history of previous sternotomy and was undergoing hemodialysis.
- The condition involved both the mitral and aortic valves.
Findings:
- The patient underwent the Ross procedure for aortic valve replacement.
- Vegetation was removed from the mitral valve during the same surgery.
- This complex IE case was successfully managed with the combined approach.
Implications:
- This case highlights the feasibility of the Ross procedure in complex IE scenarios.
- It suggests the Ross procedure can be a viable option even in patients with prior sternotomy and on hemodialysis.
- Further dissemination of the Ross procedure could improve outcomes for patients with severe aortic valve IE.
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