Fourth Sternotomy with Reinforced Ross Procedure


A twenty-year-old woman presented with a severe left ventricular outflow tract (LVOT) obstruction secondary to prosthetic aortic valve dysfunction. She was born with a bicuspid aortic valve and had undergone four previous operations: a left thoracotomy with left subclavian artery flap for repair of aortic coarctation and three sternotomies (resection of a subaortic membrane, resection of a recurrent subaortic membrane with open aortic valvuloplasty, and aortic valve replacement with a bioprosthesis) in addition to an ascending-to-descending bypass graft for recurrent aortic coarctation. She also underwent multiple balloon dilation and stent placement in her native aortic coarctation repair site. 

See the video

The information and views presented on represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.