| A single center's experience with the Ross procedure in pediatrics. | |
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MedLine Citation:
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PMID: 18401635 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Edward Kirkpatrick; Roger Hurwitz; John Brown |
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Publication Detail:
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Type: Journal Article Date: 2008-04-10 |
Journal Detail:
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Title: Pediatric cardiology Volume: 29 ISSN: 0172-0643 ISO Abbreviation: Pediatr Cardiol Publication Date: 2008 Sep |
Date Detail:
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Created Date: 2008-08-28 Completed Date: 2009-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8003849 Medline TA: Pediatr Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 894-900 Citation Subset: IM |
Affiliation:
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Pediatric Cardiology, Riley Hospital for Children, 702 Barnhill Dr., Indianapolis, IN 46202, USA. Ekirkpatrick@chw.org |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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