We report a case of successful heterograft aortic valve replacement following an impede Ross procedure in a 48-year-old man presenting with a congenital bicuspid pulmonary valve. The patient was admitted for aortic valve stenosis that required an aortic valve replacement (AVR). Owing to his young age and reluctance to long-term anticoagulation therapy, it was decided to do an AVR by pulmonary autograft. During surgery, the anatomical unsuitability of the graft was discovered leading to the procedure's readjustment.
Kajingu Enciso, S., Elens, M., & Rubay, J. (2017). Congenital bicuspid pulmonary valve. An uncommon impede for Ross procedure. Acta Chirurgica Belgica (Bilingual Edition), 117(2), 115-117. https://doi.org/10.1080/00015458.2016.1220121 (Original work published 2017)