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[Ross procedure: mid term results].

M Rebelo1, D Afonso, G Nogueira

  • 1Unidade de Cirurgia Cardíaca Pediátrica and Serviços de Cirurgia Cardiotorácica e Cardiologia Pediátrica do Hospital de Santa Marta, Lisboa.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|February 14, 2006
PubMed
Summary
This summary is machine-generated.

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The Ross procedure offers excellent immediate results for aortic valve replacement in young patients. Mid-term follow-up shows good functional class and no need for re-intervention in most survivors.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Aortic Valve Disease

Context:

  • The Ross procedure is a complex aortic valve replacement technique used in children and young adults.
  • Indications include isolated aortic valve disease and left ventricular outflow tract obstruction.
  • Many patients had prior surgical or percutaneous interventions.

Purpose:

  • To report the mid-term results of the Ross procedure performed at a single institution by the same surgical team.
  • To evaluate the safety and efficacy of the Ross procedure in a pediatric and young adult population.

Summary:

  • Eighteen patients underwent the Ross procedure between 1999 and 2005, with a mean age of 12 years.
  • No early mortality was observed; late deaths occurred in 11% of patients.

Related Experiment Videos

  • 16 survivors were in NYHA class I or II, with no significant residual lesions or need for re-intervention at a median follow-up of 38 months.
  • Impact:

    • The Ross procedure demonstrates excellent immediate outcomes in this cohort.
    • Mid-term results suggest good functional recovery and durability, though longer follow-up is needed to assess homograft evolution and neo-aortic root dilation.