Discussion
The Ross procedure is a very interesting option in children and young adults with severe aortic stenosis and regurgitation. Indeed, this operation not only allows for aortic valve replacement in a population where this option would not otherwise be possible, but also provides the potential for neoaortic valve growth. [4] In addition to this, this operation does not require postoperative anticoagulation and shows exceptional hemodynamic data [5].
In this particular case, we performed this procedure as a rescue operation under emergent circumstances in a very low birth weight neonate. On this regard, it should also be emphasized that the net weight of the baby at the time of Ross operation would have been even lower considering his important edematous state. Moreover, the need for contegra biscupidalization added complexity on an already high-demanding procedure performed in such small neonate. Even though it was a risky operation, the results were outstanding both in terms of clinical outcomes and subsequent growth of the baby [figure 2].
To our knowledge, this is the smallest patient undergoing a Ross procedure and mitral valve repair described in the literature. This case demonstrates the potential use of this procedure even in very young patients and challenging circumstances.