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The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution
BACKGROUND: The Ross/Ross-Konno procedure is considered a good option for irreparable aortic valve disease in pediatric patients because of its hemodynamic performance and potential for growth of the pulmonary autograft. This study is a review of the long-term results of our 20-year experience with...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society for Thoracic and Cardiovascular Surgery
2017
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548198/ https://www.ncbi.nlm.nih.gov/pubmed/28795027 http://dx.doi.org/10.5090/kjtcs.2017.50.4.235 |
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author | Yoon, Dong Woog Yang, Ji-Hyuk Jun, Tae-Gook Park, Pyo Won |
author_facet | Yoon, Dong Woog Yang, Ji-Hyuk Jun, Tae-Gook Park, Pyo Won |
author_sort | Yoon, Dong Woog |
collection | PubMed |
description | BACKGROUND: The Ross/Ross-Konno procedure is considered a good option for irreparable aortic valve disease in pediatric patients because of its hemodynamic performance and potential for growth of the pulmonary autograft. This study is a review of the long-term results of our 20-year experience with the Ross and Ross-Konno operations in a single institution. METHODS: Between June 1995 and January 2016, 16 consecutive patients (mean age, 6.0±5.9 years; range, 16 days to 17.4 years) underwent either a Ross operation (n=9) or a Ross-Konno operation (n=7). The study included 12 males and 4 females, with a median follow-up period of 47 months (range, 6 to 256 months). RESULTS: There were no cases of in-hospital or late mortality. Six reoperations were performed in 5 patients. Four patients underwent right ventricular-pulmonary artery (RV-PA) conduit replacement. Two patients underwent concomitant replacement of the pulmonary autograft and RV-PA conduit 10 years and 8 years after the Ross operation, respectively. The rate of freedom from adverse outcomes of the pulmonary autograft was 88% and 70% at 5 and 10 years, respectively. The rate of freedom from valve-related reoperations was 79% and 63% at 5 and 10 years, respectively. CONCLUSION: Pulmonary autografts demonstrated good durability with low mortality. The Ross/Ross-Konno procedure is a good option that can be performed safely in pediatric patients with aortic valve disease, even in a small-volume center. |
format | Online Article Text |
id | pubmed-5548198 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Society for Thoracic and Cardiovascular Surgery |
record_format | MEDLINE/PubMed |
spelling | pubmed-55481982017-08-09 The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution Yoon, Dong Woog Yang, Ji-Hyuk Jun, Tae-Gook Park, Pyo Won Korean J Thorac Cardiovasc Surg Clinical Research BACKGROUND: The Ross/Ross-Konno procedure is considered a good option for irreparable aortic valve disease in pediatric patients because of its hemodynamic performance and potential for growth of the pulmonary autograft. This study is a review of the long-term results of our 20-year experience with the Ross and Ross-Konno operations in a single institution. METHODS: Between June 1995 and January 2016, 16 consecutive patients (mean age, 6.0±5.9 years; range, 16 days to 17.4 years) underwent either a Ross operation (n=9) or a Ross-Konno operation (n=7). The study included 12 males and 4 females, with a median follow-up period of 47 months (range, 6 to 256 months). RESULTS: There were no cases of in-hospital or late mortality. Six reoperations were performed in 5 patients. Four patients underwent right ventricular-pulmonary artery (RV-PA) conduit replacement. Two patients underwent concomitant replacement of the pulmonary autograft and RV-PA conduit 10 years and 8 years after the Ross operation, respectively. The rate of freedom from adverse outcomes of the pulmonary autograft was 88% and 70% at 5 and 10 years, respectively. The rate of freedom from valve-related reoperations was 79% and 63% at 5 and 10 years, respectively. CONCLUSION: Pulmonary autografts demonstrated good durability with low mortality. The Ross/Ross-Konno procedure is a good option that can be performed safely in pediatric patients with aortic valve disease, even in a small-volume center. The Korean Society for Thoracic and Cardiovascular Surgery 2017-08 2017-08-05 /pmc/articles/PMC5548198/ /pubmed/28795027 http://dx.doi.org/10.5090/kjtcs.2017.50.4.235 Text en Copyright © 2017 by The Korean Society for Thoracic and Cardiovascular Surgery. All rights Reserved. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Research Yoon, Dong Woog Yang, Ji-Hyuk Jun, Tae-Gook Park, Pyo Won The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution |
title | The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution |
title_full | The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution |
title_fullStr | The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution |
title_full_unstemmed | The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution |
title_short | The Ross Procedure in Pediatric Patients: A 20-Year Experience of Ross Procedure in a Single Institution |
title_sort | ross procedure in pediatric patients: a 20-year experience of ross procedure in a single institution |
topic | Clinical Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5548198/ https://www.ncbi.nlm.nih.gov/pubmed/28795027 http://dx.doi.org/10.5090/kjtcs.2017.50.4.235 |
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