Valve-Sparing Root Replacement Following Congenital Heart Disease Repair: Lesion-Specific Technical Considerations.
Yuchen Cao, Masaaki Koide, Yoshifumi Kunii et al.
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Case in brief
This report details three adult cases of valve-sparing root replacement (VSRR) performed after congenital heart disease repairs, specifically for perimembranous ventricular septal defect, annulus-sparing tetralogy of Fallot, and the Ross procedure. In two cases involving prior VSD closure, the right coronary cusp sinus was easily dissected, avoiding complications. The Ross procedure was executed without technical issues, highlighting the importance of understanding individual anatomical variations.
Diagnostic / clinical pearl
Clinicians should recognize that careful consideration of lesion-specific anatomy is crucial for the successful implementation of valve-sparing root replacement in patients with a history of congenital heart disease repair.