%0 Journal Article
%T Modified Ross Procedure for a Young Woman with a Root Abscess on a Bicuspid Aortic Valve: Report of a Case
%A Yusuke Misumi
%A Tomoyuki Fujita
%A Yusuke Shimahara
%A Hiroki Hata
%A Soichiro Kitamura
%A Junjiro Kobayashi
%J World Journal of Cardiovascular Diseases
%P 199-202
%@ 2164-5337
%D 2015
%I Scientific Research Publishing
%R 10.4236/wjcd.2015.58022
%X A 19-year-old woman with a bicuspid aortic valve was admitted because of active infective endocarditis with a root abscess. Four weeks of antibiotic therapy achieved negative blood cultures and normalized inflammatory signs; however, echocardiography revealed severe aortic regurgitation through an abscess cavity located at the root. The modified Ross procedure, in which the pulmonary autograft was reinforced with a prosthetic graft to prevent postoperative annular dilation, was successfully performed. The postoperative clinical course was uneventful, and echocardiography performed at 1 year showed trivial aortic regurgitation. Selection of homograft may benefit young woman who wishes to bear children, and covering pulmonary autograft by a prosthetic graft in order to prevent annular dilatation of autograft in patient with bicuspid aortic valve, may be allowed only under negative infection sign.
%K Ross Procedure
%K Endocarditis
%K Homograft
%K Bicuspid Aortic Valve
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=58839