A 17-year, single-centre experience with the Ross procedure: fulfilling the promise of a durable option without anticoagulation?

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Aleksandra MiskovicAnton Moritz

Abstract

For adult patients <60 years with aortic valve disease, the Ross procedure is an attractive alternative to a prosthetic aortic valve. The Ross procedure enables surgeons to achieve a haemodynamically ideal aortic valve replacement. A potential drawback may be long-term durability, which varies considerably between series. Between 1996 and 2014, 209 patients (mean age, 43 ± 10 years) underwent an elective Ross procedure in our department. In 78% (n = 161) of patients a bicuspid valve was found. Patients were examined clinically and with echocardiography during the follow-up. The mean follow-up was 7.9 ± 5 years and was 98% complete. The 30-day mortality rate was 2.4% (n = 5). The Kaplan-Meier survival rates at 10 and 15 years were 91 and 85%, respectively. In 17 patients (8.3%) the pulmonary autograft had to be reoperated on: 12 of them could be repaired; only 5 patients finally underwent prosthetic valve replacement. The rate of freedom from reoperation for autograft failure was 93% and that from reoperation or moderate autograft regurgitation was 87% at 10 years. Thromboembolic events occurred in 9 patients (0.54%/patient-year) and were mostly related to atrial fibrillation. Endocarditis involving the pulmonary autograft was o...Continue Reading

References

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May 25, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Aleksandra MiskovicAnton Moritz
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Jul 16, 2014·Langenbeck's Archives of Surgery·Nadejda MonsefiAnton Moritz

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Citations

Mar 18, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Thoralf M Sundt
Apr 10, 2016·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Thierry Carrel, Alexander Kadner
May 1, 2016·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Alexander KaraskovAlexander Bogachev-Prokophiev
Aug 2, 2017·Current Opinion in Cardiology·Amine MazineMaral Ouzounian
Aug 31, 2020·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ravil SharifulinAlexander Karaskov
Apr 17, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ravil SharifulinAlexander Karaskov
Feb 1, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Umberto BenedettoMassimo Caputo

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