Complications of the Ross Procedure

Author: Alison F. Ward, MD
Institution: Emory University
Date Reviewed: 2023
Original Case: Elisa Zaragoza-Macias, Edward Verrier MD / University of Washington
Learning Domain: Adult Cardiac Surgery
Learning Objective: Ascending Aorta, Ross Repair
PowerPoint File: Complications of the Ross Procedure

 

Discussion Points

37 male with history of congenital AS (bicuspid) s/p Ross procedure followed by a Bentall redo in 2004

  • Deal with aortic pseudoaneurysm from the right coronary sinus / Dilated aorta / AV Regurgitation
  • Sternal re-entry
  • Cannulation strategies
  • Prosthetic choices
  • How to handle distorted coronary buttons

 

Learning Points

  • Surgical preparation / planning critical
  • Sternal re-entry challenge
  • Inflammation with Ross / root challenging dissection
  • Myocardial protection important
  • Long term follow-up essential