case_images: PMC8298125_01
case_images: Post-Ross right-ventricle-to-pulmonary-artery (RV-PA) homograft. (A) Ross
  procedure schematic. Source: Medical gallery of Blausen Medical, WikiJournal
  of Medicine, Wikiversity. (B) Cardiovascular magnetic resonance imaging
  demonstrated severe RV-PA homograft stenosis with high velocity jet directed
  toward the pulmonary artery (PA). LV: left ventricle
case_images: mdcvj-17-02-152-g1.jpg
case_images: PMC8298125_01_mdcvj-17-02-152-g1.jpg
case_images: F1
case_images: She had a history of severe bicuspid aortic stenosis requiring the Ross procedure at age 16, including a 24-mm right-ventricle-to-pulmonary-artery (RV-PA) homograft (Figure 1 A); however, this was complicated by left coronary artery (LCA) endarteritis and pseudoaneurysm, requiring a second surgical repair. The present work-up revealed severe RV-PA homograft stenosis (Figure 1 B, Video 1).