PMID: 8604945Dec 1, 1995Paper

Extending the limits of the Ross procedure

The Annals of Thoracic Surgery
V M ReddyF L Hanley

Abstract

The potential for growth and the proven long-term durability of the native pulmonary valve make it ideal for replacement of the diseased aortic valve, especially in growing children. The use of the autologous pulmonary valve can be further extended to patients with complex left ventricular outflow tract obstruction and to neonates and infants. Between June 1993 and May 1995, 35 patients underwent the Ross procedure at our center. Of these, 15 (43%) had complex left ventricular outflow tract obstruction and 7 (20%) were infants, including 3 neonates. The autologous pulmonary valve was implanted as a root replacement with coronary reimplantation in all patients. Additional left ventricular outflow tract procedures performed were ventricular myectomy in 7 patients and a Konno type aortoventriculoplasty in 11 patients. There was one early death in a patient with borderline hypoplastic left heart syndrome. At a median follow-up of 9 months (range, 0.2 to 22 months) there were no late deaths or reinterventions. The autologous pulmonary valve function was excellent, with 1 (2.8%) patient having moderate insufficiency. Autologous pulmonary valve is an excellent option for aortic valve replacement in all age groups. Its use can be readi...Continue Reading

References

Mar 1, 1991·The Annals of Thoracic Surgery·G GerosaD N Ross
Jan 1, 1994·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·R C ElkinsM M Lane
Jun 1, 1994·The Annals of Thoracic Surgery·R C ElkinsM M Lane
Jan 6, 1994·The New England Journal of Medicine·N T KouchoukosJ B Perrillo
Jan 6, 1994·The New England Journal of Medicine·R C Elkins

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Citations

Jul 6, 2000·The Annals of Thoracic Surgery·C J Knott-CraigM M Lane
Jun 25, 2002·The Annals of Thoracic Surgery·Abdul Aziz S Al-BaradaiDavid B Ross
Nov 4, 1998·The Annals of Thoracic Surgery·J R BockovenL A Rhodes
Apr 10, 1999·The Annals of Thoracic Surgery·A Laudito, R A Perryman
Oct 30, 1999·The Annals of Thoracic Surgery·J H OuryC M Duran
Nov 9, 2000·Cardiovascular Surgery : Official Journal of the International Society for Cardiovascular Surgery·V SirvydisV Lebetkevicius
Feb 4, 2006·Cardiology in the Young·Bradley S MarinoStephen M Paridon
Mar 29, 2000·The Annals of Thoracic Surgery·D B McElhinneyF L Hanley
Jun 5, 2001·The Annals of Thoracic Surgery·M W TurrentineJ W Brown
Sep 28, 2013·The Annals of Thoracic Surgery·T Brett ReeceJames S Gammie
May 26, 2012·The Annals of Thoracic Surgery·Katsuhide MaedaV Mohan Reddy
Mar 27, 2007·The Journal of Thoracic and Cardiovascular Surgery·Sara K PasqualiBradley S Marino
Jul 4, 2001·The Journal of Thoracic and Cardiovascular Surgery·A LauditoV M Reddy
Jul 4, 2001·The Journal of Thoracic and Cardiovascular Surgery·E A BachaR A Jonas
Dec 27, 2005·International Journal of Cardiology·Mark RuzmetovJohn W Brown
Sep 26, 1997·The Journal of Thoracic and Cardiovascular Surgery·D B McElhinneyF L Hanley
Oct 26, 2005·The Annals of Thoracic Surgery·Hong Gook LimCurie Ahn
Aug 4, 2001·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Thomas L. Spray
Dec 29, 1999·The Journal of Thoracic and Cardiovascular Surgery·L SolymarD Holmgren
Jun 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·J A van SonF L Hanley
Nov 5, 1999·Radiologic Clinics of North America·J L Strife, R W Sze
Sep 9, 2010·Circulation·John M StulakJoseph A Dearani

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