The David Procedure for Salvage of a Failing Autograft After the Ross Operation Markus Liebrich, MD, Timo Weimar, MD, Ioannis Tzanavaros, MD, Detlef Roser,

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The David Procedure for Salvage of a Failing Autograft After the Ross Operation Markus Liebrich, MD, Timo Weimar, MD, Ioannis Tzanavaros, MD, Detlef Roser, MD, Kai-Nicolas Doll, MD, Wolfgang B. Hemmer, MD The Annals of Thoracic Surgery Volume 98, Issue 6, Pages 2046-2052 (December 2014) DOI: 10.1016/j.athoracsur.2014.06.065 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Diagram of autograft reoperations after failed Ross operations. (RR = root replacement; TAVI = transcatheter aortic valve implantation.) The Annals of Thoracic Surgery 2014 98, 2046-2052DOI: (10.1016/j.athoracsur.2014.06.065) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Pulmonic valve with thin and pliable cusps at inspection before explantation and transfer into high-pressure system for a Ross operation. (B) Pulmonary autograft valve in aortic position with development of noduli Arantii (arrows) with a prominent free margin 10 years after the initial Ross operation. The Annals of Thoracic Surgery 2014 98, 2046-2052DOI: (10.1016/j.athoracsur.2014.06.065) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions