Strategies to Minimise Need for Prosthetic Aortic Valve Replacement in Congenital Aortic Stenosis—Value of the Ross Procedure

Ivanov, Yaroslav; Drury, Nigel E; Stickley, John; Botha, Phil; Khan, Natasha; Jones, Timothy J.; Brawn, William J.; Barron, David J.

doi:10.1053/j.semtcvs.2020.02.015

Cited by 17 publications

(8 citation statements)

References 21 publications

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“…In a study by Ivanov et al [21] conducted in 2020, it was reported that 72.7% of the patients with aortic stenosis were males. In our study, 77.8% of the patients with aortic stenosis were males.…”

Section: Discussionmentioning

confidence: 98%

Evaluation of the prevalence and distribution of congenital heart diseases who presented to a pediatric cardiology outpatient clinic

Çağlar

Sert

2020

Journal of Contemporary Medicine

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The present study aimed to determine the prevalence and distribution of congenital heart disease in patients who presented to the pediatric cardiology clinic. Material and Method: File records of the children who underwent transthoracic echocardiography within the 3-year period between January 2013 and December 2015 at the pediatric cardiology clinic were retrospectively evaluated. Congenital heart diseases were grouped as follows: diseases with a left-to-right shunt, obstructive diseases, cyanotic diseases, cardiac malposition, vascular ring and unclassified diseases. Prevalence of the diseases, distribution among gender and age groups were investigated. Results: This study included 12,342 subjects; 6996 (56.7%) subjects were male and 5346 (43.3%) subjects were female. The subjects were aged between 1 day and 18 years, and the median age was 7 years (IQR:10.5); 27.7% of the subjects were determined to have congenital heart disease. The prevalence of congenital heart disease was higher in males and in the 0-1 month age group. Of the subjects with congenital heart disease, 87% had a disease with a left-to-right shunt, 21.2% had an unclassified disease, 7% had obstructive disease, 1.6% had cyanotic disease, 0.8% had a vascular ring and 0.7% had cardiac malposition. Conclusion:We recommend performing echocardiography in all children who presented to the pediatric cardiology clinic because one-fourth of these children have congenital heart disease. Conducting echocardiographic examination on new-borns who are referred to the pediatric cardiology department within the first month of life would enable detecting, particularly the diseases with a left-toright shunt and cyanotic congenital heart diseases, and ensure timely treatment planning.

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Section: Discussionmentioning

confidence: 98%

Evaluation of the prevalence and distribution of congenital heart diseases who presented to a pediatric cardiology outpatient clinic

Çağlar

Sert

2020

Journal of Contemporary Medicine

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“…Ivanov and colleagues reported an early mortality of 1.3% and a freedom from reintervention of 90% at 10 years. The Ross operation and VSRR carry the advantage in this period of life regarding the growth of the autograft and for the avoidance of anticoagulation [ 38 , 59 ]. Criticisms of the Ross operation have been that this operation transforms a one-valve disease into a two-valve disease, with drawbacks related to the pulmonary valve.…”

Section: Surgery In Htadsmentioning

confidence: 99%

Hereditary Thoracic Aortic Diseases

Spaziani,

Surace,

Girolami

et al. 2024

Diagnostics

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Advances in both imaging techniques and genetics have led to the recognition of a wide variety of aortic anomalies that can be grouped under the term ‘hereditary thoracic aortic diseases’. The present review aims to summarize this very heterogeneous population’s clinical, genetic, and imaging characteristics and to discuss the implications of the diagnosis for clinical counselling (on sports activity or pregnancy), medical therapies and surgical management.

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“…In paediatric patients, the Ross operation has shown excellent mid- to long-term results in terms of mortality and freedom from re-operations. Ivanov and colleagues reported an early mortality of 1.3% with only one death occurring in a neonate [ 65 ]. Freedom from reintervention was 90% at 10 years.…”

Section: Therapymentioning

confidence: 99%

Bicuspid Aortic Valve in Children and Adolescents: A Comprehensive Review

et al. 2022

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Bicuspid aortic valve (BAV) is the most common congenital heart defect. Prevalence of isolated BAV in the general pediatric population is about 0.8%, but it has been reported to be as high as 85% in patients with aortic coarctation. A genetic basis has been recognized, with great heterogeneity. Standard BAV terminology, recently proposed on the basis of morpho-functional assessment by transthoracic echocardiography, may be applied also to the pediatric population. Apart from neonatal stenotic BAV, progression of valve dysfunction and/or of the associated aortic dilation seems to be slow during pediatric age and complications are reported to be much rarer in comparison with adults. When required, because of severe BAV dysfunction, surgery is most often the therapeutic choice; however, the ideal initial approach to treat severe aortic stenosis in children or adolescents is not completely defined yet, and a percutaneous approach may be considered in selected cases as a palliative option in order to postpone surgery. A comprehensive and tailored evaluation is needed to define the right intervals for cardiologic evaluation, indications for sport activity and the right timing for intervention.

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Strategies to Minimise Need for Prosthetic Aortic Valve Replacement in Congenital Aortic Stenosis—Value of the Ross Procedure

Cited by 17 publications

References 21 publications

Evaluation of the prevalence and distribution of congenital heart diseases who presented to a pediatric cardiology outpatient clinic

Evaluation of the prevalence and distribution of congenital heart diseases who presented to a pediatric cardiology outpatient clinic

Hereditary Thoracic Aortic Diseases

Bicuspid Aortic Valve in Children and Adolescents: A Comprehensive Review

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