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Asian Cardiovasc Thorac Ann 2003;11:186
© 2003 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

The Stealth Ross Operation

Antonio F Corno, MD, Ludwig K von Segesser, FACS

1 Department of Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland

For reprint information contact: Antonio F Corno, FRCS Tel: 41 21 314 2280 Fax: 41 21 314 2278 email: Antonio.Corno{at}chuv.hospvd.ch Cardiovascular Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), 46 rue du Bugnon CH-1011, Lausanne, Switzerland.

A 43-year-old man underwent a Ross operation with size-reduction of his dilated ascending aorta (diameter, 5.7 cm). A trileaflet bovine jugular vein valved conduit (Contegra; Medtronic Europe SA, Tolochenaz, Switzerland) was used for right ventricle-to-pulmonary artery reconstruction (internal diameter, 22 mm). The hemodynamic result was adequate with peak/mean pressure gradients of 7/4 mm Hg across the new aortic valve and 12/6 mm Hg across the new pulmonary valve, as well as absence of regurgitation in both valves. A 3-dimensional computed tomography scan performed 7 months after surgery (Figure 1Go) showed perfectly normal morphology of both the aorta and pulmonary artery, with the reimplanted right coronary artery and sinuses in correspondence with the bovine valved conduit.



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