Document Detail


Single-centre experience of 101 paediatric and adult Ross procedures: mid-term results.
MedLine Citation:
PMID:  22361123     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Angela McBrien; Milind Chaudhari; David S Crossland; Helen Aspey; Alison Heads-Baister; Massimo Griselli; John O'Sullivan; Asif Hasan
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Publication Detail:
Type:  Journal Article     Date:  2012-02-22
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  14     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-18     Completed Date:  2012-08-02     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  570-4     Citation Subset:  IM    
Affiliation:
Department of Paediatric Cardiology, Freeman Hospital, Newcastle-upon-Tyne, UK. angmcb@yahoo.co.uk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Surgical Procedures* / adverse effects,  mortality
Chi-Square Distribution
Child
Child, Preschool
England
Female
Heart Defects, Congenital / mortality,  surgery*
Humans
Infant
Infant, Newborn
Kaplan-Meier Estimate
Male
Middle Aged
Pulmonary Valve / transplantation*
Retreatment
Retrospective Studies
Time Factors
Treatment Outcome
Young Adult
Comments/Corrections

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


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