Ross procedure

Case contributed by Jayanth Keshavamurthy
Diagnosis certain

Presentation

Evaluation of pacemaker in patient who has a history of a bicuspid aortic valve who underwent a Ross procedure in past.

Patient Data

Age: 75
Gender: Male
x-ray

The heart is borderline enlarged. Aortic root and arch ( pulmonary homograft ) is diffusely calcified.

Case Discussion

Echo cardiogram

Aortic Valve:
Mild AI. Mean PG = 5 mmHg. Ross procedure.

Mitral Valve:
The mitral valve appears normal. There is no evidence of mitral stenosis. There is mild to moderate mitral regurgitation.

Tricuspid Valve:
The tricuspid valve is normal. There is no evidence of tricuspid stenosis. There is mild tricuspid regurgitation. There is no evidence of pulmonary hypertension. The Right Ventricular Systolic Pressure is calculated at 34 mmHg.

Pulmonic Valve:
The pulmonic valve is not well visualized. There is a bioprosthetic pulmonic valve. Mild PI, Mean gradient 9 mmHg.

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