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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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Heparinisation : The patient should be fully heparinised before the start of cardio pulmonary bypass. Baseline activated clotting time is measured (ACT). 3 mg (300 units) per k
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