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Updated: Aug 9, 2025

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Ross procedure after prosthetic valve thrombosis in a patient with antiphospholipid syndrome and recurrent bleeding
Saeid Mirzai1, Osamah Z Badwan1, Parvathy R Sankar1
1Medicine Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Abstract:
The Ross procedure allows replacement of a diseased aortic valve with pulmonary root autograft, possibly avoiding the highly thrombotic mechanical valves and immunologic deterioration of tissue valves in antiphospholipid syndrome (APS). Here, we present the use of the Ross procedure in a 42-year-old woman with mild intellectual disability, APS, and a complex anticoagulation history after she presented with thrombosis of her mechanical On-X aortic valve previously implanted for non-bacterial thrombotic endocarditis.
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