Modified Ross procedure with stentless bioprosthesis and pericardial xenograft for the right ventricular outflow tract

Usefulness of autologous pericardial patch for hemostasis
  • Hiroya Minami
  • Noboru Wakita
  • Takeshi Mimura
  • Kyozo Inoue
  • Masahiro Sakata
  • Yutaka Okita


A 31-year-old man with severe aortic regurgitation due to a defective bicuspid valve underwent surgery using modified Ross procedure. The right ventricular outflow tract (RVOT) was reconstructed with a 25 mm stentless xenograft valve sutured with a rolled equine pericardium. Oozy bleeding from the RVOT was controlled with an autologous pericardial patch and fibrin glue. Postoperative echocardiography showed no aortic regurgitation. No blood transfusion was required.

Key words

Ross procedure stentless bioprosthesis pericardial xenograft autologous pericardial patch right ventricular outflow tract 


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Copyright information

© Japanese Association for Thoracic Surgery 2002

Authors and Affiliations

  • Hiroya Minami
    • 2
  • Noboru Wakita
    • 1
  • Takeshi Mimura
    • 1
  • Kyozo Inoue
    • 1
  • Masahiro Sakata
    • 1
  • Yutaka Okita
    • 3
  1. 1.Department of Cardiovascular SurgeryKobe Rosai HospitalKobeJapan
  2. 2.Department of Cardiovascular SurgeryHyogo Brain and Heart CenterHimejiJapan
  3. 3.Department of Cardiovascular, Thoracic, and Pediatric SurgeryKobe University School of MedicineKobeJapan

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