Pulmonary autograft: “Valve of choice” for aortic infective endocarditis?

The Ross Operation as a Combined Procedure and in Complicated Cases - is there an Increased Risk?*

“…It is remarkable that recurrence of the infection was not observed in any case of endocarditis treated with the Ross operation in this series, and a complete cure was achieved, confirming the optimistic results reported by others [21]. The extraordinary suppleness of the pulmonary autograft makes the operation easier than rigid mechanical valve replacements, even in cases with extensive destroyed aortic annulus.…”

Homograft reconstruction of the aortic root for endocarditis with periannular abscess: a 17-year study☆

“…Considering that aortic homograft and pulmonary autograft can restore the anatomic and the physiologic units of the LVOT [1,9,10,19] and have similar biologic attributes we preferred the cryopreserved viable aortic homograft as our valve of choice to manage active endocarditis complicated with annular abscess. A major factor influencing the decision was the fact that we are implanting a true heart valve which will heal in place and be totally permeated with antibiotic solution from the systemic administration of antibiotics.…”