Semilunar valve switch in aortic insufficiency
The use of the Ross procedure in young patients is gaining wideracceptance. The need for a foreign pulmonary valve that will requirereplacement, however, is a serious drawback. To circumvent this problem, wereimplanted the native aortic valve in the pulmonary position in fourpatients (ages 12, 15, 1...
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| Veröffentlicht in: | European journal of cardio-thoracic surgery 1995, Vol.9 (11), p.631-635 |
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| container_title | European journal of cardio-thoracic surgery |
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| creator | DELEON, S. Y QUINONES, J. A VITULLO, D. A HOFSTRA, J FISHER, E. A GAMPONIA, R TORRES, L LOPEZ, W ZAMORA, R |
| description | The use of the Ross procedure in young patients is gaining wideracceptance. The need for a foreign pulmonary valve that will requirereplacement, however, is a serious drawback. To circumvent this problem, wereimplanted the native aortic valve in the pulmonary position in fourpatients (ages 12, 15, 15 and 17 years old) operated on utilizing the Rossprocedure for aortic insufficiency. One patient had congenital and threeisolated rheumatic aortic insufficiency. The root replacement techniquewith coronary artery reimplantation was used. All patients did wellinitially with marked reduction of left ventricular dilatation and goodfunction of the reimplanted native aortic valve. One patient, however, dieda month later from rupture of a false aneurysm that developed at thepulmonary autograft to ascending aorta anastomosis. We feel that the use ofthe native aortic valve in the pulmonary position makes the Ross proceduremore attractive and potentially curative. The diseased aortic valve workswell in the pulmonary position because of lower pulmonary artery pressureand resistance. |
| doi_str_mv | 10.1016/S1010-7940(05)80109-5 |
| format | Article |
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Y ; QUINONES, J. A ; VITULLO, D. A ; HOFSTRA, J ; FISHER, E. A ; GAMPONIA, R ; TORRES, L ; LOPEZ, W ; ZAMORA, R</creator><creatorcontrib>DELEON, S. Y ; QUINONES, J. A ; VITULLO, D. A ; HOFSTRA, J ; FISHER, E. A ; GAMPONIA, R ; TORRES, L ; LOPEZ, W ; ZAMORA, R</creatorcontrib><description>The use of the Ross procedure in young patients is gaining wideracceptance. The need for a foreign pulmonary valve that will requirereplacement, however, is a serious drawback. To circumvent this problem, wereimplanted the native aortic valve in the pulmonary position in fourpatients (ages 12, 15, 15 and 17 years old) operated on utilizing the Rossprocedure for aortic insufficiency. One patient had congenital and threeisolated rheumatic aortic insufficiency. The root replacement techniquewith coronary artery reimplantation was used. All patients did wellinitially with marked reduction of left ventricular dilatation and goodfunction of the reimplanted native aortic valve. One patient, however, dieda month later from rupture of a false aneurysm that developed at thepulmonary autograft to ascending aorta anastomosis. We feel that the use ofthe native aortic valve in the pulmonary position makes the Ross proceduremore attractive and potentially curative. The diseased aortic valve workswell in the pulmonary position because of lower pulmonary artery pressureand resistance.</description><identifier>ISSN: 1010-7940</identifier><identifier>EISSN: 1873-734X</identifier><identifier>DOI: 10.1016/S1010-7940(05)80109-5</identifier><identifier>PMID: 8751252</identifier><identifier>CODEN: EJCSE7</identifier><language>eng</language><publisher>Amsterdam: Elsevier Science B.V</publisher><subject>Adolescent ; Anastomosis, Surgical - adverse effects ; Aneurysm, False - etiology ; Aneurysm, Ruptured - etiology ; Aorta - surgery ; Aortic Valve - transplantation ; Aortic Valve Insufficiency - congenital ; Aortic Valve Insufficiency - surgery ; Biological and medical sciences ; Blood Pressure ; Cause of Death ; Child ; Coronary Vessels - surgery ; Humans ; Hypertrophy, Left Ventricular - surgery ; Male ; Medical sciences ; Pulmonary Artery - surgery ; Pulmonary Valve - transplantation ; Replantation ; Retrospective Studies ; Rheumatic Heart Disease - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Transplantation, Autologous ; Vascular Resistance ; Ventricular Dysfunction, Left - surgery</subject><ispartof>European journal of cardio-thoracic surgery, 1995, Vol.9 (11), p.631-635</ispartof><rights>1996 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c406t-c11b438ea833bde00a5569c607f78f09aae5a4083647bc701125853f339adad53</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,4025,27928,27929,27930</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2928888$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8751252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>DELEON, S. 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One patient had congenital and threeisolated rheumatic aortic insufficiency. The root replacement techniquewith coronary artery reimplantation was used. All patients did wellinitially with marked reduction of left ventricular dilatation and goodfunction of the reimplanted native aortic valve. One patient, however, dieda month later from rupture of a false aneurysm that developed at thepulmonary autograft to ascending aorta anastomosis. We feel that the use ofthe native aortic valve in the pulmonary position makes the Ross proceduremore attractive and potentially curative. The diseased aortic valve workswell in the pulmonary position because of lower pulmonary artery pressureand resistance.</description><subject>Adolescent</subject><subject>Anastomosis, Surgical - adverse effects</subject><subject>Aneurysm, False - etiology</subject><subject>Aneurysm, Ruptured - etiology</subject><subject>Aorta - surgery</subject><subject>Aortic Valve - transplantation</subject><subject>Aortic Valve Insufficiency - congenital</subject><subject>Aortic Valve Insufficiency - surgery</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Cause of Death</subject><subject>Child</subject><subject>Coronary Vessels - surgery</subject><subject>Humans</subject><subject>Hypertrophy, Left Ventricular - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pulmonary Artery - surgery</subject><subject>Pulmonary Valve - transplantation</subject><subject>Replantation</subject><subject>Retrospective Studies</subject><subject>Rheumatic Heart Disease - surgery</subject><subject>Surgery (general aspects). 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| issn | 1010-7940 1873-734X |
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| source | Oxford University Press Journals Digital Archive legacy; MEDLINE |
| subjects | Adolescent Anastomosis, Surgical - adverse effects Aneurysm, False - etiology Aneurysm, Ruptured - etiology Aorta - surgery Aortic Valve - transplantation Aortic Valve Insufficiency - congenital Aortic Valve Insufficiency - surgery Biological and medical sciences Blood Pressure Cause of Death Child Coronary Vessels - surgery Humans Hypertrophy, Left Ventricular - surgery Male Medical sciences Pulmonary Artery - surgery Pulmonary Valve - transplantation Replantation Retrospective Studies Rheumatic Heart Disease - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Transplantation, Autologous Vascular Resistance Ventricular Dysfunction, Left - surgery |
| title | Semilunar valve switch in aortic insufficiency |
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