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The Ross Reversal operation is a breakthrough strategy first reported by Flynn et al. in 2007. In a reoperation for pulmonary autograft dysfunction after the Ross operation, an excised autograft can be preserved by reusing it in a native pulmonary position. We report a case wherein we used a new approach to excise the autograft valve with less invasion. The patient underwent a modified Ross Reversal operation concomitant with aortic root replacement and recovered without any complications. Our new approach enables a safer operation with improved valve function.

The modified Ross Reversal operation: a new approach for preserving the autograft wall