The Ross operation is the operation of choice for children and young adults who require aortic valve replacement. Although the allograft does not require anticoagulation and has a superior hemodynamic profile compared to other valve substitutes, concerns regarding allograft and autograft longevity have risen in the last decade. We present a case illustrating an alternative operative technique for patients with failed Ross procedure in which the autograft is recycled in order to avoid a two-allograft replacement.
RossD. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet. 1967;2(7523):956–958.
2.
StulakJMBurkhartHMSundtTMIII. Spectrum and outcome of reoperations after the Ross procedure. Circulation. 2010;122(12):1153–1158.
3.
HussainSTMajdalanyDSDunnA. Early and mid-term results of autograft rescue by Ross reversal: a one-valve disease need not become a two-valve disease. J Thorac Cardiovasc Surg. 2018;155(2):562–572. doi:10.1016/j.jtcvs.2017.09.134.
