Expanding indications for the Ross procedure

The pulmonary autograft procedure has been shown to provide excellent hemod ynamic results in young patients with aortic pathology. However, the use of this procedure in those with more complex aortic disease has not been exte nsively evaluated. The purpose of this report is to present the application of the Ross procedure in a 21-year-old man with extensive acquired aortic root pathology, both subannular and supraannular, and prosthetic valve dysf unction after two previous procedures. (C) 1999 by The Society of Thoracic Surgeons.