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Early autograft endocarditis after Ross operation: a case history

Tingleff, J.; Lindblom, D.; Brolin, A.; Joyce, F.; Pettersson, G.

Journal of Heart Valve Disease 6(6): 587-588

1997

ISSN/ISBN: 0966-8519
PMID: 9427123
Document Number: 482778
A case of early autograft endocarditis occurring three weeks after a Ross operation is described. The origin of the infection appeared to be the proximal suture line of the autograft and the pathology included subvalvular destruction of the autograft, a pseudoaneurysm between the autograft and the left atrium, and a fistula to and a vegetation in the roof of the left atrium. The valve cusps were unaffected and there was only slight autograft insufficiency (grade I-II). The autograft was removed and successfully replaced with a homograft.

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