Complexity and Outcome of Reoperations After the Ross Procedure in the Current Era

Sherif, Nibras El; Dearani, Joseph A.; Connolly, Heidi M.; Bagameri, Gabor; Pochettino, Alberto; Stulak, John M.

doi:10.1016/j.athoracsur.2022.05.017

Cited by 8 publications

(2 citation statements)

References 35 publications

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“…With the increasing literature regarding long-term benefits of the Ross procedure, strong concerns regarding reoperations remain. 5 Efforts to combat autograft dysfunction have resulted in reinforcement strategies that may be protracted and potentially restrictive. Considering historical feats focused on simplifying aortic root surgery, the authors were inspired by the origins of the Florida sleeve technique, where subannular sutures are placed followed by slipping a graft over the aortic root, downsizing it.…”

Section: Discussionmentioning

confidence: 99%

A simplified reinforcement: The Florida sleeve Ross procedure

Spindel,

Zumwalt,

et al. 2024

JTCVS Techniques

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Section: Discussionmentioning

confidence: 99%

A simplified reinforcement: The Florida sleeve Ross procedure

Spindel,

Zumwalt,

et al. 2024

JTCVS Techniques

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“…В последующем было показано, что больные, перенесшие операцию Росса, имеют такую же выживаемость, как и в общей популяции [8]. В настоящее время появились исследования, демонстрирующие необходимость повторного вмешательства как на аорте и АК, так и на легочном клапане [9][10][11]. Модифицированные методики (окутывание собственной аортой, дакроновым протезом, укрепление фиброзного кольца и сино-тубулярного соединения), предложенные для уменьшения риска дилатации, показали обнадеживающие результаты [12,13].…”

Section: ключевые моментыunclassified

Reoperations after Ross procedure: a retrospective study

Chernov,

Enginoev,

Zenkov

et al. 2023

Russ J Cardiol

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Aim. To analyze the immediate outcomes of reinterventions after Ross procedure.Material and methods. From April 2009 to December 2022, 224 Ross operations in adults were performed at the Federal Center for Cardiovascular Surgery. The retrospective study included 17 patients who required repeated interventions (14 men/3 women). The mean age of the patients was 38±11 years, with a minimum age of 21 and a maximum of 54 years. A history of infective endocarditis was revealed in 4 (23,5%) patients, hypertension — in 3 (17,6%) patients. Of the 17 included patients, 15 patients underwent the classic Ross operation ("full root replacement"), while 2 — a modified technique (1 — wrapping with aorta, 1 — wrapping with a Dacron graft). Annulus enhancement was previously performed in 3 patients.Results. Interventions on the pulmonary autograft and homograft were performed in 16 and 4 cases, respectively. The main indication for pulmonary autograft intervention was aortic regurgitation in 15 cases, and neoaortic aneurysm in 14 cases. In 3 patients, there was pulmonary homograft stenosis, while in 1 case — thrombosis. Two patients required interventions on other valves: 1 — mitral valve stenosis, 1 — severe tricuspid regurgitation. Mean reoperation, cardiopulmonary bypass and myocardial ischemia time were 289±62, 126±35 and 98±22 min, respectively. Combined interventions were performed in 6 cases. David valve-sparing procedure was performed in 9 patients, Bentall-de Bono technique — in 3, aortic valve repair — in 2, mechanical aortic valve replacement — in 2, supracoronary ascending aorta replacement — in 2, pulmonary homograft replacement — in 2, pulmonary homograft thrombectomy — in 1, pulmonary homograft repair — in 1 patient, mitral valve replacement — in 1 patient, tricuspid valve repair — in 1 patient. One patient required resternotomy for bleeding. There were no postoperative complications (perioperative myocardial infarction, acute kidney injury, stroke, sternal infection, cardiac tamponade) and deaths. The median length of stay in intensive care unit was 21 [16-23] hours.Conclusion. Reoperations after the Ross procedure may be required for different pathologies, but all can be performed surgically with a high safety in experienced operator.

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Reoperations After the Ross Procedure

David

2023

The Annals of Thoracic Surgery

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Complexity and Outcome of Reoperations After the Ross Procedure in the Current Era

Cited by 8 publications

References 35 publications

A simplified reinforcement: The Florida sleeve Ross procedure

A simplified reinforcement: The Florida sleeve Ross procedure

Reoperations after Ross procedure: a retrospective study

Reoperations After the Ross Procedure

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