Although mid- and long-term outcomes after the Ross procedure for aortic
valve disease have been increasingly improving over the years, this is
still a rather challenging operation in neonates and small children.
This is particularly true for patients with associated congenital heart
defects and critical clinical conditions. Herein we describe the
application of this procedure as a rescue operation in emergency
circumstances in a low-birth-weight neonate with severe aortic stenosis,
aortic regurgitation and mitral regurgitation after a previous aortic
coartectomy.