Ross procedure in children: 17-year experience at a single institution

The Ross procedure in children carries substantial mortality and reoperation rate. Aortic root dilatation is of concern. To prevent dilatation of the neoaortic root, but permit normal growth, we began to apply an absorbable poly-(p-dioxanone)-filaments (PDS) band at the sino-tubular (ST)-junction. A...

Ausführliche Beschreibung

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Journal of the American Heart Association 2013-04, Vol.2 (2), p.e000153-e000153
Hauptverfasser:	Tan Tanny, Sharman P, Yong, Matthew S, d'Udekem, Yves, Kowalski, Remi, Wheaton, Gavin, D'Orsogna, Luigi, Galati, John C, Brizard, Christian P, Konstantinov, Igor E
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Aortic Valve - transplantation Aortic Valve Insufficiency - complications Aortic Valve Insufficiency - surgery Aortic Valve Stenosis - complications Aortic Valve Stenosis - surgery Cardiac Valve Annuloplasty - methods Cardiac Valve Annuloplasty - mortality Child Child, Preschool Dilatation, Pathologic - prevention & control Female Humans Infant Infant, Newborn Male Original Research Pulmonary Valve - transplantation Retrospective Studies Transplantation, Autologous - methods Transplantation, Homologous - methods Treatment Outcome
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

Beschreibung
Zusammenfassung:	The Ross procedure in children carries substantial mortality and reoperation rate. Aortic root dilatation is of concern. To prevent dilatation of the neoaortic root, but permit normal growth, we began to apply an absorbable poly-(p-dioxanone)-filaments (PDS) band at the sino-tubular (ST)-junction. All children (n=100) who underwent Ross procedure during 1995-2012 were studied. Mean age at operation was 8.6±6.1 years (median 8.3 years, range 3 days to 18 years); 19 patients were younger than 1 year of age. The root replacement (n=91, Ross-Konno procedure in 29 patients), root inclusion (n=6), and subcoronary implantation (n=3) techniques were used. Operative mortality was 6% (6/100, 4 neonates, 2 infants). Age of
ISSN:	2047-9980 2047-9980
DOI:	10.1161/JAHA.113.000153