Single-centre experience of 101 paediatric and adult Ross procedures: mid-term results
| Autor: | Angela McBrien, Asif Hasan, Alison Heads-Baister, David S. Crossland, Milind Chaudhari, Massimo Griselli, John O'Sullivan, Helen Aspey |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Adult
Heart Defects Congenital Male Pulmonary and Respiratory Medicine Aortic valve medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Population Kaplan-Meier Estimate Institutional Reports Young Adult Aortic valve replacement medicine Humans Ventricular outflow tract Cardiac Surgical Procedures Child education Retrospective Studies Pulmonary Valve education.field_of_study Chi-Square Distribution business.industry Ross procedure Infant Newborn Infant Middle Aged medicine.disease Surgery Stenosis Treatment Outcome medicine.anatomical_structure England Child Preschool Pulmonary valve Aortic valve stenosis Retreatment Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive CardioVascular and Thoracic Surgery. 14:570-574 |
| ISSN: | 1569-9285 1569-9293 |
| DOI: | 10.1093/icvts/ivr149 |
| Popis: | We aimed to determine outcomes for the Ross procedure in paediatric and adult patients, with particular emphasis on survival, complication and reintervention rates. A retrospective review of 101 patients who had the Ross procedure in a congenital cardiac surgical centre serving a population of approximately 2.5 million was performed. There were 69 adults and 32 children with a mean age of 24.8 ± 13.9 years. Indications for surgery were aortic stenosis (48), regurgitation (10), mixed disease (35) and complex left outflow tract obstruction (8). The mean follow-up duration was 4.7 ± 3.7 years. The mini-inclusion technique was used to incorporate the autograft, and in all cases, pulmonary homografts were placed in the right ventricular outflow tract. Sub-aortic resection was also performed in six and Ross–Konno operations in eight patients. There were no early deaths and there was one late death secondary to endocarditis. Freedom from reintervention was 92% at 5 years and 77% at 10 years. Children were significantly more likely to require reintervention (16%, 5 of 32 versus 4%, 3 of 69, P = 0.05). The Ross procedure carries low early and mid-term mortality, and reintervention rates appear acceptable. The Ross procedure should be considered a feasible alternative to prosthetic valves in patients who require aortic valve replacement. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|