Document Detail


A single center's experience with the Ross procedure in pediatrics.
MedLine Citation:
PMID:  18401635     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The use of a pulmonary autograft for aortic valve replacement (AVR) has become more prevalent than other forms of AVR in the pediatric population. We reviewed the data on pediatric patients who underwent the Ross procedure at our institution from 1993 to 2005. Sixty patients <18 years old who underwent a Ross procedure had available clinical and echocardiographic data collected and statistical analysis performed. Mortality rate was 3.3%, while overall survival and freedom from reoperation of either the homograft or the autograft were 96.7% and 66.2%, respectively, at 10 years. Freedom from reoperation of the left ventricular outflow tract was 60.5% at 10 years. Echocardiographic data showed aortic regurgitation to be mild or less in 76% of patients by last follow-up, while dilation of the sinuses of Valsalva had occurred in 52%. Compared to other AVR options, the Ross procedure in eligible pediatric patients demonstrates good intermediate survival rates and continued growth potential, yet a time-dependent need for reoperation.
Authors:
Edward Kirkpatrick; Roger Hurwitz; John Brown
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Publication Detail:
Type:  Journal Article     Date:  2008-04-10
Journal Detail:
Title:  Pediatric cardiology     Volume:  29     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-28     Completed Date:  2009-01-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  894-900     Citation Subset:  IM    
Affiliation:
Pediatric Cardiology, Riley Hospital for Children, 702 Barnhill Dr., Indianapolis, IN 46202, USA. Ekirkpatrick@chw.org
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aorta / pathology
Aortic Stenosis, Subvalvular / surgery
Aortic Valve Insufficiency / pathology,  surgery*,  ultrasonography
Aortic Valve Stenosis / pathology,  surgery*,  ultrasonography
Child
Child, Preschool
Dilatation, Pathologic
Heart Valve Prosthesis Implantation*
Humans
Infant
Pulmonary Valve / transplantation*
Reoperation / statistics & numerical data
Retrospective Studies
Transplantation, Autologous
Treatment Outcome

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


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