Document Detail


Echocardiographic follow-up after Ross procedure in 100 patients.
MedLine Citation:
PMID:  10758926     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The Ross procedure could provide an ideal aortic valve replacement method in children and young adults. We evaluated midterm echocardiographic results to assess pulmonary homograft function as well as pulmonary autograft dimensions and function. In all, 105 patients (26 women and 79 men) underwent the Ross procedure; median age at implant was 29 years. All patients underwent free root replacement. Transvalvular gradients and autograft dimensions were measured at 3 levels (annulus, sinuses of Valsalva, and proximal aorta) at discharge, at 6 months, and annually thereafter. Perioperative mortality was 4.7%. The mean period for echocardiographic follow-up in 100 patients was 32.7 months (range 0.5 to 7 years), during which 4 noncardiac-related deaths occurred. Two patients underwent late reintervention. No moderate or severe regurgitation was recorded. There was 1 case of mild homograft regurgitation and 4 of mild autograft regurgitation at late follow-up. Autograft peak gradients were low and reproducible (5 +/- 2.8 mm Hg at discharge vs 5.5 +/- 3.5 mm Hg at last follow-up, p = NS). Homograft peak gradients increased significantly without severe obstruction (7.8 +/- 5.7 mm Hg at discharge vs 15.8 +/- 9.2 mm Hg at last follow-up). The diameter of the autograft annulus was stable during follow-up, whereas autograft dimensions at sinuses and proximal aorta increased significantly. One group of patients was identified with sinus diameter increases >20% (group A). The 90 remaining patients were classified into group B. The only parameter significantly different between the 2 groups was the sinus diameters measured at discharge (1.74 cm/m2 (group A) vs 1.92 cm/m2 (group B); p = 0.036). In 100 patients and with echocardiographic follow-up for up to 7 years, the Ross procedure showed excellent results. For 10% of patients, we observed a 20% dilation of sinus diameters, but in only 3 patients (3%) was this beyond the upper normal limit.
Authors:
C Savoye; J L Auffray; E Hubert; F Godart; C Francart; L Goullard; G Deklunder; C Rey; A Prat
Related Documents :
20103316 - Current role and outcomes of ascending aortic replacement for severe nonaneurysmal aort...
20719786 - Clinical outcomes of medical treatment of acute type a intramural hematoma.
18346906 - Optimal initial treatment and clinical outcome of type a aortic intramural hematoma: a ...
20542466 - Contemporary results following surgical repair of acute type a aortic dissection (aaad)...
25000166 - Thirty-year follow-up of a tmd case treated based on the neuromuscular concept.
18545786 - Lysine clonixinate versus dipyrone (metamizole) for the acute treatment of severe migra...
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  85     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  2000 Apr 
Date Detail:
Created Date:  2000-04-21     Completed Date:  2000-04-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  854-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Echocardiography, Cardiologic Hospital, Lille, France.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aortic Valve / surgery*,  ultrasonography
Aortic Valve Insufficiency / mortality,  surgery*,  ultrasonography
Child
Child, Preschool
Echocardiography*
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation*
Hospital Mortality
Humans
Male
Middle Aged
Postoperative Care / methods*
Reproducibility of Results
Retrospective Studies
Survival Rate
Transplantation, Autologous
Transplantation, Homologous

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Comparison of electrocardiographic findings in patients with AL (primary) amyloidosis and in familia...
Next Document:  Plasma beta-endorphin and adenosine concentration in pulmonary hypertension.