Journal of Pediatric Cardiology and Cardiac Surgery

Online ISSN: 2433-1783 Print ISSN: 2433-2720
Japanese Society of Pediatric Cardiology and Cardiac Surgery
Japanese Society of Pediatric Cardiology and Cardiac Surgery Academy Center, 358-5 Yamabuki-cho, Shinju-ku, Tokyo 162-0801, Japan
Journal of Pediatric Cardiology and Cardiac Surgery 6(1): 21-24 (2022)

Case ReportCase Report

Yacoub Technique for Distal Autograft Aneurysm after the Ross Procedure with Aortic Root Fixation

Department of Cardiovascular Surgery, Tokyo Women’s Medical University ◇ Tokyo, Japan

受付日:2021年3月14日Received: March 14, 2021
受理日:2021年8月2日Accepted: August 2, 2021
発行日:2022年1月31日Published: January 31, 2022

An autograft aneurysm with possible autograft regurgitation is one of the well-known complications late after the Ross procedure, and various modifications to avoid autograft aneurysm and autograft regurgitation had been reported. We present a middle-aged gentleman with distal autograft aneurysm with ascending aortic aneurysm despite the aortic root fixation by Dacron felt at the time of the Ross procedure 20 years ago. The valve-sparing root replacement by David technique was planned, but converted to Yacoub technique during the operation due to severe calcification of the fixation material with difficulty of aortic root dissection. The Ross procedure concomitant with autograft root fixation technique was able to prevent the autograft annulus dilatation; however, unable to prevent autograft sinus of Valsalva aneurysm. Yacoub technique was an excellent option to proceed with valve-sparing root replacement operation for an aneurysmal autograft with concomitant root fixation.

Key words: Yacoub technique; Ross procedure; distal autograft aneurysm

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