Ross procedure after prosthetic valve thrombosis in a patient with antiphospholipid syndrome and recurrent bleeding.
Saeid MirzaiOsamah Z BadwanParvathy R SankarRehan KarmaliSaja AlmaaitahMarcelo P GomesRhonda MiyasakaNeha QuatromoniMichael Zhen-Yu TongHeba WassifPublished in: International journal of rheumatic diseases (2023)
The Ross procedure allows replacement of a diseased aortic valve with pulmonary root autograft, possibly avoiding the highly thrombotic mechanical valves and immunologic deterioration of tissue valves in antiphospholipid syndrome (APS). Here, we present the use of the Ross procedure in a 42-year-old woman with mild intellectual disability, APS, and a complex anticoagulation history after she presented with thrombosis of her mechanical On-X aortic valve previously implanted for non-bacterial thrombotic endocarditis.
Keyphrases
- aortic valve
- intellectual disability
- transcatheter aortic valve replacement
- aortic valve replacement
- aortic stenosis
- transcatheter aortic valve implantation
- minimally invasive
- autism spectrum disorder
- pulmonary embolism
- atrial fibrillation
- pulmonary hypertension
- case report
- venous thromboembolism
- heart failure
- mitral valve
- left ventricular
- ejection fraction