Infective Endocarditis of the Autograft and the Neo-Aortic Root Following the Ross Operation

• Autograft endocarditis is a rare complication of the Ross procedure in children. • Clinical presentation of endocarditis does not always match disease process extent. • High-quality TTE is integral in the diagnosis of endocarditis. • Multimodality cardiac imaging can help identify endocarditis therapeutic options.