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The Ross Procedure: How I Teach It

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Presentation on theme: "The Ross Procedure: How I Teach It"— Presentation transcript:

1 The Ross Procedure: How I Teach It
Amine Mazine, MD, MSc, Aly Ghoneim, MD, Ismail El-Hamamsy, MD, PhD  The Annals of Thoracic Surgery  Volume 105, Issue 5, Pages (May 2018) DOI: /j.athoracsur Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Pulmonary autograft harvesting. The red asterisk indicates the location of the first septal artery, which arises approximately 1 cm below the cusp insertion line. A light white line is often visible within the right ventricular outflow tract (RVOT) muscle, corresponding to the artery. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Suture passage through the pulmonary autograft. Each suture is passed from inside out, entering precisely at the hinge line of the pulmonary leaflets and exiting tangentially 1 to 2 mm above that hinge line. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Distal pulmonary autograft trimming. Appearance of the neoaortic root after the distal pulmonary autograft is trimmed. The supracoronary pulmonary autograft tissue is resected, leaving no more than approximately 2 to 3 mm above the level of the commissures, in an effort to minimize the amount of pulmonary artery wall tissue exposed to systemic pressures. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2018 The Society of Thoracic Surgeons Terms and Conditions


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