PMC8298125_01
Post-Ross right-ventricle-to-pulmonary-artery (RV-PA) homograft. (A) Ross
procedure schematic. Source: Medical gallery of Blausen Medical, WikiJournal
of Medicine, Wikiversity. (B) Cardiovascular magnetic resonance imaging
demonstrated severe RV-PA homograft stenosis with high velocity jet directed
toward the pulmonary artery (PA). LV: left ventricle
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F1
She had a history of severe bicuspid aortic stenosis requiring the Ross procedure at age 16, including a 24-mm right-ventricle-to-pulmonary-artery (RV-PA) homograft (Figure 1 A); however, this was complicated by left coronary artery (LCA) endarteritis and pseudoaneurysm, requiring a second surgical repair. The present work-up revealed severe RV-PA homograft stenosis (Figure 1 B, Video 1).