The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution
| Autor: | Dong Woog Yoon, Ji-Hyuk Yang, Tae-Gook Jun, Pyo Won Park |
|---|---|
| Jazyk: | English<br />Korean |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Korean Journal of Thoracic and Cardiovascular Surgery, Vol 50, Iss 4, Pp 235-241 (2017) |
| Druh dokumentu: | article |
| ISSN: | 2233-601X 2093-6516 |
| DOI: | 10.5090/kjtcs.2017.50.4.235 |
| Popis: | Background: The Ross/Ross-Konno procedure is considered a good option for irreparable aortic valve disease in pediatric patients because of its hemodynamic performance and potential for growth of the pulmonary autograft. This study is a review of the long-term results of our 20-year experience with the Ross and Ross-Konno operations in a single institution. Methods: Between June 1995 and January 2016, 16 consecutive patients (mean age, 6.0±5.9 years; range, 16 days to 17.4 years) underwent either a Ross operation (n=9) or a Ross-Konno operation (n=7). The study included 12 males and 4 females, with a median follow-up period of 47 months (range, 6 to 256 months). Results: T here were no c ases o f in-hospital or l ate mortality. S ix reoperations were performed in 5 patients. Four patients underwent right ventricular-pulmonary artery (RV-PA) conduit replacement. Two patients underwent concomitant replacement of the pulmonary autograft and RV-PA conduit 10 years and 8 years after the Ross operation, respectively. The rate of freedom from adverse outcomes of the pulmonary autograft was 88% and 70% at 5 and 10 years, respectively. The rate of freedom from valve-related reoperations was 79% and 63% at 5 and 10 years, respectively. Conclusion: Pulmonary autografts demonstrated good durability with low mortality. The Ross/Ross-Konno procedure is a good option that can be performed safely in pediatric patients with aortic valve disease, even in a small-volume center. |
| Databáze: | Directory of Open Access Journals |
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