The Ross procedure is the procedure of choice for congenital aortic valve disease

Al‐Halees, Zohair; Pieters, Frans; Qadoura, Fatima; Shahid, Maie; Alamri, Maha; Al-Fadley, Fadel

doi:10.1067/mtc.2002.119705

Cited by 90 publications

(66 citation statements)

References 17 publications

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“…Thirty-nine publications were included: 17 consecutive series with both children and adults [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] (nϭ2610; 11 604 patient years); 12 adult patient series 20 -31 (nϭ1749; 7458 patientϭyears); and 10 pediatric patient series [32][33][34][35][36][37][38][39][40][41] (nϭ672; 3374 patient-years). Table 1 provides an overview of the publications obtained by the systematic review.…”

Section: Resultsmentioning

confidence: 99%

The Ross Procedure

et al. 2009

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Background-Reports on outcome after the Ross procedure are limited by small study size and show variable durability results. A systematic review of evidence on outcome after the Ross procedure may improve insight into outcome and potential determinants. Methods and Results-A systematic review of reports published from January 2000 to January 2008 on outcome after the Ross procedure was undertaken. Thirty-nine articles meeting the inclusion criteria were allocated to 3 categories: (1) consecutive series, (2) adult patient series, and (3) pediatric patient series. With the use of an inverse variance approach, pooled morbidity and mortality rates were obtained. Pooled early mortality for consecutive, adult, and pediatric patients series was 3.0% (95% confidence interval [CI], 1.8 to 4.9), 3.2% (95% CI, 1.5 to 6.6), and 4.2% (95% CI, 1.4 to 11.5). Autograft deterioration rates were 1.15% (95% CI, 1.06 to 2.06), 0.78% (95% CI, 0.43 to 1.40), and 1.38%/patient-year (95% CI, 0.68 to 2.80), respectively, and for right ventricular outflow tract conduit were 0.91% (95% CI, 0.56 to 1.47), 0.55% (95% CI, 0.26 to 1.17), and 1.60%/patient-year (95% CI, 0.84 to 3.05), respectively. For studies with mean patient age Ͼ18 years versus mean patient age Յ18 years, pooled autograft and right ventricular outflow tract deterioration rates were 1.14% (95% CI, 0.83 to 1.57) versus 1.69% (95% CI, 1.02 to 2.79) and 0.65% (95% CI, 0.41 to 1.02) versus 1.66%/patient-year (95% CI, 0.98 to 2.82), respectively. Conclusions-The Ross procedure provides satisfactory results for both children and young adults.

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Section: Resultsmentioning

confidence: 99%

The Ross Procedure

et al. 2009

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“…A proportional increase in the LVOT root diameter (indexed to patient body surface area) was similarly documented in a larger study of 260 patients (136 of whom were Ͻ18 years of age). 32 Other authors have reported progressive dilation of the autograft with differential prevalence, depending on the definition used (generally 4.0 cm or greater), the method used for detection, and the duration of follow-up. 11 Predisposing factors favoring dilation have included anatomic mismatch between the pulmonary and aortic root and a complete aortic root replacement technique without pericardial buttressing of the ascending aorta and annulus.…”

Section: Mortalitymentioning

confidence: 99%

“…Recent literature addressing these issues has generated conflicting reports. 7,14,32 Simon at el 14 documented rapid adaptation of the pulmonary autograft to systemic pressure and normal growth trajectories thereafter, with 95% of patients free from important regurgitation at 4 years. A proportional increase in the LVOT root diameter (indexed to patient body surface area) was similarly documented in a larger study of 260 patients (136 of whom were Ͻ18 years of age).…”

Section: Mortalitymentioning

confidence: 99%

Outcomes and Associated Risk Factors for Aortic Valve Replacement in 160 Children

et al. 2005

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“…Prospective studies in future can suggest homografts as appropriate alternatives in young women. Especially for young women who wants to get pregnant Ross procedure can be a good alternative because its perfect valve hemodynamics and not being thrombogenic [Al-Halees, 2002). However this opertaion is difficult in terms of technical aspect and as the operative mortality is reported as 2-13% in different studies it has to be performed in experienced centres (Rahimtoola, 2003;Schmidtke 2003).…”

Section: Wwwintechopencommentioning

confidence: 99%