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Related Experiment Videos

Ross procedure for ascending aortic replacement.

R C Elkins1, M M Lane, C McCue

  • 1Section of Thoracic and Cardiovascular Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73190, USA.

The Annals of Thoracic Surgery
|July 3, 1999
PubMed
Summary
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The Ross operation can be safely extended to treat ascending aortic aneurysms or dilations in pediatric patients, maintaining excellent autograft valve function and aortic integrity.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiac Surgery
  • Aortic Valve Disease

Background:

  • Patients with aortic valve disease and ascending aorta issues need combined surgical treatment.
  • The Ross operation is preferred for aortic valve replacement in young patients.
  • Efficacy of extending the Ross operation to include ascending aorta repair was untested.

Purpose of the Study:

  • To evaluate the safety and efficacy of extending the Ross operation.
  • To assess outcomes of aortic valve replacement combined with ascending aorta repair/replacement.
  • To determine the midterm structural integrity of the repaired/replaced aorta and autograft function.

Main Methods:

  • Retrospective review of 43 patients (18 aneurysm, 26 dilation) undergoing the Ross operation (1986-1998).

Related Experiment Videos

  • Analysis of operative mortality, midterm outcomes, and echocardiographic data.
  • Assessment of autograft valve function and aortic root/ascending aorta integrity.
  • Main Results:

    • One operative death (2%) due to perioperative stroke.
    • 42 of 43 survivors showed normal autograft valve function (trace to mild insufficiency).
    • No dilatation of the autograft root or repaired/replaced ascending aorta was observed.

    Conclusions:

    • Extending the Ross operation for ascending aortic aneurysm or dilation yields excellent early results.
    • Autograft valve function is comparable to patients without ascending aortic disease.
    • The procedure effectively addresses both aortic valve and ascending aorta pathology in young patients.