From: Aortic valve replacement in pediatric patients: 30 years single center experience
| Contraindication | n (%) |
|---|---|
| Any contraindication, including complex congenital heart disease | 31 (100) |
| Patient’s parents were against a Ross procedure | 3 (9.7) |
| Bicuspid pulmonary valve | 6 (19.4) |
| Tricuspid, but dysplastic or insufficient pulmonary valve | 3 (9.7) |
| Size discrepancy between the aortic and the pulmonary valve at time of surgery | 2 (6.5) |
| Massive adhesions between the aortic and the pulmonary root | 1 (3.2) |
| Coronary anatomy | 2 (6.5) |
| Connective tissue disease | 3 (9.7) |
| Marfanoid habitus with hyperextensibility of the joints and a dilated pulmonary artery | 1 (3.2) |
| Suitable pulmonary homograft not available at time of surgery (1999) | 1 (3.2) |
| Due to hematoma of the aorta ascendens at the cannulation site a mechanical Bentall was performed | 1 (3.2) |