Cardiac reoperations following the Ross procedure in children: spectrum of surgery and reoperation results

OBJECTIVES The Ross procedure is the preferred aortic valve replacement (AVR) choice in small children. Nonetheless, it is a complicated surgery and there are concerns that subsequent cardiac reoperations are exceptionally complex and associated with high morbidity and mortality. We examine the surg...

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Veröffentlicht in:	European journal of cardio-thoracic surgery 2012-07, Vol.42 (1), p.25-31
Hauptverfasser:	Alsoufi, Bahaaldin, Fadel, Bahaa, Bulbul, Ziad, Al-Ahmadi, Mamdouh, Al-Fayyadh, Majid, Kalloghlian, Avedis, Siblini, Ghassan, Al-Halees, Zohair
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Adult Aortic Valve Insufficiency - congenital Aortic Valve Insufficiency - microbiology Aortic Valve Insufficiency - mortality Aortic Valve Insufficiency - surgery Biological and medical sciences Cardiology. Vascular system Child Child, Preschool Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava Female Follow-Up Studies Heart Humans Infant Infant, Newborn Male Medical sciences Multivariate Analysis Pneumology Pulmonary Valve - transplantation Reoperation Retrospective Studies Rheumatic Heart Disease - mortality Rheumatic Heart Disease - surgery Risk Factors Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Survival Analysis Time Factors Transplantation, Autologous Treatment Outcome Young Adult
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Zusammenfassung:	OBJECTIVES The Ross procedure is the preferred aortic valve replacement (AVR) choice in small children. Nonetheless, it is a complicated surgery and there are concerns that subsequent cardiac reoperations are exceptionally complex and associated with high morbidity and mortality. We examine the surgical spectrum and report outcomes of cardiac reoperations in patients who had undergone the Ross procedure during childhood. METHODS Records of 227 consecutive children (
ISSN:	1010-7940 1873-734X
DOI:	10.1093/ejcts/ezr288