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Comprehensive experience with the Ross operation in Spain.

Manuel Concha1, Gonzalo Pradas, Alberto Juffé

  • 1Cardiovascular Surgery Department, Hospital Universitario Reina Sofia, C/ Menéndez Pidal s/n. 14005, Córdoba, Spain. pjarandag@hotmail.com

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|September 23, 2003
PubMed
Summary

The Ross operation shows promising results in Spain for aortic valve disease, with high autograft and homograft function and good survival rates. Long-term follow-up is crucial to confirm the efficacy of this aortic valve replacement technique.

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Area of Science:

  • Cardiovascular Surgery
  • Aortic Valve Disease
  • Surgical Outcomes

Background:

  • The Ross operation, a pulmonary autograft procedure for aortic valve disease, has gained traction in Spain since 1997.
  • A national registry was established to evaluate the outcomes of this procedure in Spanish patients.

Purpose of the Study:

  • To assess the results of the Ross operation in patients with aortic valve disease in Spain.
  • To collect and analyze data on morbidity, mortality, graft function, and reintervention rates.

Main Methods:

  • Data from cardiac surgery departments performing the Ross operation in Spain were collected annually.
  • The registry included preoperative, intraoperative, and postoperative data for 169 patients treated between 1991 and 2002.

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Main Results:

  • The most common indication was aortic regurgitation (42.59%), with congenital etiology being frequent (63.9%).
  • Operative mortality was 2.36%. At an average follow-up of 36 months, 95.6% of autografts and 94.07% of homografts showed normal or mild dysfunction.
  • Actuarial survival was 95.99% at 36 months, with 92.44% of patients remaining free from reintervention.

Conclusions:

  • The Ross operation is a viable surgical option for selected patients with aortic valve disease in Spain.
  • Initial results are comparable to international data, but continued close follow-up is necessary to evaluate long-term graft performance.