| Single-centre experience of 101 paediatric and adult Ross procedures: mid-term results. | |
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MedLine Citation:
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PMID: 22361123 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article Date: 2012-02-22 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 14 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-04-18 Completed Date: 2012-08-02 Revised Date: 2013-05-02 |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 570-4 Citation Subset: IM |
Affiliation:
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Department of Paediatric Cardiology, Freeman Hospital, Newcastle-upon-Tyne, UK. angmcb@yahoo.co.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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