| The Ross procedure is not the procedure of choice for the teenager requiring aortic valve replacement. | |
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MedLine Citation:
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PMID: 15818375 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The Ross procedure was a remarkable technical achievement when it was introduced in 1967. Although the long-term results for the procedure when performed in adults using the technique of intra-aortic subcoronary freehand implantation have been satisfactory, the results for children using the technique of complete aortic root replacement have been less satisfactory. Not only have early outgrowth, calcification, and shrinkage of the pulmonary homograft used to reconstruct the right ventricular outflow tract been a problem but in addition some children have experienced excessive dilation of the neoaortic root as well as neoaortic valve regurgitation. In contrast to the Ross procedure, aortic valve repair and other forms of aortic valve replacement do not exclude the possibility of reoperation in the future using more advanced options such as tissue engineered leaflets or valves. Until more information is available regarding long-term performance of the pulmonary root when implanted as a neoaortic root, as well as improved results for reconstruction of the right ventricular outflow tract, the Ross procedure should be used rarely. |
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Authors:
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Richard A Jonas |
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Publication Detail:
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Type: Comment; Journal Article; Review |
Journal Detail:
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Title: Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual Volume: - ISSN: 1092-9126 ISO Abbreviation: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu Publication Date: 2005 |
Date Detail:
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Created Date: 2005-04-08 Completed Date: 2005-09-20 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 9815944 Medline TA: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu Country: United States |
Other Details:
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Languages: eng Pagination: 176-80 Citation Subset: IM |
Affiliation:
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Department of Cardiac Surgery, Children's National Heart Institute, Washington, DC 20010, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Age Factors Aortic Valve Insufficiency / physiopathology, surgery* Aortic Valve Stenosis / physiopathology, surgery* Blood Pressure / physiology Humans Postoperative Complications* Pulmonary Valve / physiopathology, transplantation* Regional Blood Flow / physiology Treatment Failure |
| Comments/Corrections | |
Comment On:
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Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005;:173-5
[PMID:
15818374
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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