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Ross Operation : In this technically demanding operation, the aortic valve is replaced by patient's own pulmonary valve (autograft) and a pulmonary or aortic allograft (homograft) is used for replacing the pulmonary valve. The advantage of this operation is that the autograft in the high-pressure aortic position will last indefinitely. The homograft in the low-pressure pulmonary position, where even if it fails after long time, regurgitation is better tolerated.
The operation is done under cardio pulmonary bypass, using two venous cannulae and a single ascending aortic cannula.
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Cry o Preserved Allografts (Homograft) : As these are not mounted, a free hand suturing in two layers has to be done. The valve is thawed by protocol. The septal muscle i
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