Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Oct 29;1(1):11-13.
doi: 10.1016/j.atssr.2022.10.016. eCollection 2023 Mar.

Right Coronary Artery Dissection After Ross Procedure

Devon Anderson  1 , Jeffrey Southard  2 , Bob Kiaii  1 , Gary W Raff  1
Affiliations
Case Reports

Right Coronary Artery Dissection After Ross Procedure

Devon Anderson et al. Ann Thorac Surg Short Rep. .

Abstract

The Ross procedure is a surgical option for the treatment of aortic valve stenosis that is performed in a select subset of patients. This case report highlights the rare complication of a coronary artery dissection that occurred in the early postoperative period after a Ross procedure. The importance of timely recognition, swift intervention, and multidisciplinary team collaboration is discussed in the postoperative management of this complex cardiac surgery patient.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Intravascular ultrasound image showing right coronary artery dissection (green, area of coronary artery lumen; blue, area of dissection plane).
Figure 2
Figure 2
Cardiac catheterization (A) before and (B) after percutaneous intervention with drug-eluting stent (red arrow showing 70% proximal right coronary artery stenosis; white arrow after stent placement).
See this image and copyright information in PMC

References

    1. Ouzounian M., Mazine A., David T.E. The Ross procedure is the best operation to treat aortic stenosis in young and middle-aged adults. J Thorac Cardiovasc Surg. 2017;154:778–782. doi: 10.1016/j.jtcvs.2017.03.156. - DOI - PubMed
    1. Karamlou T., Jang K., Williams W.G., et al. Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing-risks analysis. Circulation. 2005;112:3462–3469. doi: 10.1161/CIRCULATIONAHA.105.541649. - DOI - PubMed
    1. Ross D.N. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet. 1967;290:956–958. doi: 10.1016/S0140-6736(67)90794-5. - DOI - PubMed
    1. Buratto E., Shi W.Y., Wynne R., et al. Improved survival after the Ross procedure compared with mechanical aortic valve replacement. J Am Coll Cardiol. 2018;71:1337–1344. doi: 10.1016/j.jacc.2018.01.048. - DOI - PubMed
    1. Tam D.Y., Wijeysundera H.C., Ouzounian M., Fremes S.E. The Ross procedure versus mechanical aortic valve replacement in young patients: a decision analysis. Eur J Cardiothorac Surg. 2019;55:1180–1186. doi: 10.1093/ejcts/ezy414. - DOI - PubMed

Publication types