| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2002;21:470-473
© 2002 Elsevier Science NL
a Department for Cardiac and Thoracic Surgery, University of Vienna, Waehringer Guertel 18–20, 1090 Vienna, Austria
b Department of Medical Computer Sciences, University of Vienna, Vienna, Austria
Received 27 September 2001; received in revised form 20 December 2001; accepted 23 December 2001.
* Corresponding author. Tel.: +43-1-40400-5620; fax: +43-1-40400-5640
e-mail: paul.simon{at}univie.ac.at
Objective: Structural differences of the pulmonary root may predispose it to progressive dilatation in the systemic circulation after the Ross operation. We identified the incidence and risk factors of pulmonary autograft root dilatation. Methods: One hundred and seven adult patients (mean age of 36±11 years) were followed after the Ross operation since 1991 including an echocardiogram within 3 months of surgery and yearly clinical assessment and echocardiography. The autograft was measured at the maximum diameter of the sinus (SV) and aortic insufficiency (AI) assessed. A SV of >37 mm was considered as root dilatation and the incidence over time was calculated using the Kaplan–Meier method. Clinically relevant dilatation was defined as a root diameter of >42 mm. In addition, we determined the percentage change of the sinus diameter between the early and latest echocardiogram. Furthermore we tested the influence of patient variables and risk factors on dilatation. Results: By 1 year, dilatation was found in 21 patients (20%). The SV was >42 mm in eight patients (7%). By 7 years, only 45% of patients were free of dilatation. Eleven patients (10%) had a SV of >42 mm. Increase in SV was time related and linear. However, 90% of patients showed <25% dilatation during follow-up. Time from operation, early SV diameter, male gender and surgical technique were identified as significant risk factors of dilatation. However, dilatation has not lead to reoperation due to aneurysm formation or development of significant AI. Conclusions: We conclude that time dependent autograft root dilation occurs but does not cause an increase in AI and need for reoperation up to 7 years. These findings warrant the pursuit of the concept of the Ross operation in young patients who regain excellent functional status and life style without anticoagulation.
Key Words: Valves • Aorta • Ross operation • Autograft • Dilatation
This article has been cited by other articles:
|
|
 |
|
  L. de Kerchove, J. Rubay, A. Pasquet, A. Poncelet, C. Ovaert, M. Pirotte, M. Buche, W. D'Hoore, P. Noirhomme, and G. El Khoury Ross Operation in the Adult: Long-Term Outcomes After Root Replacement and Inclusion Techniques Ann. Thorac. Surg., January 1, 2009; 87(1): 95 - 102. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al. ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease) Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons J. Am. Coll. Cardiol., December 2, 2008; 52(23): e143 - e263. [Full Text] [PDF]
|
|
|
|
 |
|
 C. A. Warnes, R. G. Williams, T. M. Bashore, J. S. Child, H. M. Connolly, J. A. Dearani, P. del Nido, J. W. Fasules, T. P. Graham Jr, Z. M. Hijazi, et al. ACC/AHA 2008 Guidelines for the Management of Adults With Congenital Heart Disease: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease): Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons Circulation, December 2, 2008; 118(23): e714 - e833. [Full Text] [PDF]
|
|
|
|
|
|
A. Frigiola, M. Ranucci, C. Carlucci, A. Giamberti, R. Abella, and M. Di Donato The ross procedure in adults: long-term follow-up and echocardiographic changes leading to pulmonary autograft reoperation. Ann. Thorac. Surg., August 1, 2008; 86(2): 482 - 489. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. M.A. Klieverik, J. A. Bekkers, J. W. Roos, M.J.C. Eijkemans, G. B. Raap, Ad. J.J.C. Bogers, and J. J.M. Takkenberg Autograft or allograft aortic valve replacement in young adult patients with congenital aortic valve disease Eur. Heart J., June 1, 2008; 29(11): 1446 - 1453. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Kadner, O. Raisky, A. Degandt, D. Tamisier, D. Bonnet, D. Sidi, and P. R. Vouhe The Ross Procedure in Infants and Young Children Ann. Thorac. Surg., March 1, 2008; 85(3): 803 - 808. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. D. Stewart, C. L. Backer, N. D. Hillman, C. Lundt, and C. Mavroudis The Ross Operation in Children: Effects of Aortic Annuloplasty Ann. Thorac. Surg., October 1, 2007; 84(4): 1326 - 1330. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. W. Brown, M. Ruzmetov, M. D. Rodefeld, Y. Mahomed, and M. W. Turrentine Incidence of and Risk Factors for Pulmonary Autograft Dilation After Ross Aortic Valve Replacement Ann. Thorac. Surg., May 1, 2007; 83(5): 1781 - 1789. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. K. Pasquali, M. S. Cohen, D. Shera, G. Wernovsky, T. L. Spray, and B. S. Marino The Relationship Between Neo-Aortic Root Dilation, Insufficiency, and Reintervention Following the Ross Procedure in Infants, Children, and Young Adults J. Am. Coll. Cardiol., May 1, 2007; 49(17): 1806 - 1812. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Chiappini, B. Absil, J. Rubay, P. Noirhomme, J.-C. Funken, R. Verhelst, A. Poncelet, and G. El Khoury The Ross Procedure: Clinical and Echocardiographic Follow-Up in 219 Consecutive Patients Ann. Thorac. Surg., April 1, 2007; 83(4): 1285 - 1289. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Watanabe, S. Saito, H. Saito, and H. Kurosawa Valve-sparing aortic root replacement with repair of leaflet prolapse after Ross operation Interactive CardioVascular and Thoracic Surgery, February 1, 2007; 6(1): 89 - 91. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. Berdajs, G. Zund, U. Schurr, C. Camenisch, M. I. Turina, and M. Genoni Geometric models of the aortic and pulmonary roots: suggestions for the Ross procedure Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 31 - 35. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Koul, F. Al-Rashidi, M. Bhat, and C. Meurling A modified Ross operation to prevent pulmonary autograft dilatation Eur. J. Cardiothorac. Surg., January 1, 2007; 31(1): 127 - 128. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H. Schoof, J. J.M. Takkenberg, R.-J. van Suylen, P. E. Zondervan, M. G. Hazekamp, R. A.E. Dion, and A. J.J.C. Bogers Degeneration of the pulmonary autograft: An explant study J. Thorac. Cardiovasc. Surg., December 1, 2006; 132(6): 1426 - 1432. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. O. Bohm, C. A. Botha, A. Horke, W. Hemmer, D. Roser, G. Blumenstock, F. Uhlemann, and J.-G. Rein Is the Ross operation still an acceptable option in children and adolescents? Ann. Thorac. Surg., September 1, 2006; 82(3): 940 - 947. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
H. Muresian The Ross Procedure: New Insights Into the Surgical Anatomy Ann. Thorac. Surg., February 1, 2006; 81(2): 495 - 501. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
I. A. Williams, J. M. Quaegebeur, D. T. Hsu, W. M. Gersony, F. Bourlon, R. S. Mosca, D. R. Gersony, and D. E. Solowiejczyk Ross Procedure in Infants and Toddlers Followed Into Childhood Circulation, August 30, 2005; 112(9_suppl): I-390 - I-395. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. F. Duebener, U. Stierle, A. Erasmi, M. F. Bechtel, D. Zurakowski, J. O. Bohm, C. A. Botha, W. Hemmer, J.-G. Rein, H.-H. Sievers, et al. Ross Procedure and Left Ventricular Mass Regression Circulation, August 30, 2005; 112(9_suppl): I-415 - I-422. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. T. Kouchoukos, P. Masetti, N. J. Nickerson, C. F. Castner, W. D. Shannon, and V. G. Davila-Roman The Ross procedure: Long-term clinical and echocardiographic follow-up Ann. Thorac. Surg., September 1, 2004; 78(3): 773 - 781. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Stradins, R. Lacis, I. Ozolanta, B. Purina, V. Ose, L. Feldmane, and V. Kasyanov Comparison of biomechanical and structural properties between human aortic and pulmonary valve Eur. J. Cardiothorac. Surg., September 1, 2004; 26(3): 634 - 639. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. S. Kabbani, H. Jamil, A. Hammoud, J. A. Hatab, F. Nabhani, R. Hariri, N. Sabbagh, and D. Ross The mitral pulmonary autograft: assessment at midterm Ann. Thorac. Surg., July 1, 2004; 78(1): 60 - 65. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. H. Kincaid, J. D. Maloney, S. W. Lavender II, and N. D. Kon Dissection in a pulmonary autograft Ann. Thorac. Surg., February 1, 2004; 77(2): 707 - 708. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Concha, G. Pradas, A. Juffe, J. M. Caffarena, A. Montero, and P. J. Aranda Comprehensive experience with the Ross operation in Spain Eur. J. Cardiothorac. Surg., October 1, 2003; 24(4): 521 - 526. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. B. Luciani, G. Casali, A. Favaro, M. A. Prioli, L. Barozzi, F. Santini, and A. Mazzucco Fate of the Aortic Root Late After Ross Operation Circulation, September 9, 2003; 108(90101): II-61 - 67. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
