Bicuspid aortic valve disease is not a contraindication for an autograft procedure.

The Ross procedure is safe and effective for children with aortic valve disease.

Objective: The Ross procedure is an established option for aortic valve disease in children.

Case presentation: We present a case of a female patient with APS and mixed aortic valve disease.

One patient had bicuspid aortic valve disease, and the other seven patients had no structural heart disease.