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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
Published on: December 11, 2017
Aortic root reoperations after pulmonary autograft implantation
J A Bekkers1, L M A Klieverik, G Bol Raap
1Department of Cardio-Thoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands. j.a.bekkers@erasmusmc.nl
The Journal of Thoracic and Cardiovascular Surgery
|November 25, 2010
Summary
Reoperations for aortic root dilatation after pulmonary autograft implantation are increasingly common. These procedures demonstrate low mortality and excellent long-term survival outcomes.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Cardiac Surgery
Background:
- Pulmonary autograft implantation is a surgical technique for aortic valve replacement.
- Aortic root dilatation and/or autograft valve insufficiency can necessitate reoperation.
- The Ross procedure involves using the patient's own pulmonary valve to replace the aortic valve.
Purpose of the Study:
- To report the outcomes of aortic root reoperations following pulmonary autograft implantation.
- To evaluate the safety and efficacy of reoperative aortic root surgery.
- To assess the long-term results of patients undergoing reoperation after the Ross procedure.
Main Methods:
- Analysis of a prospective database of patients who underwent the Ross procedure.
- Inclusion of consecutive patients requiring reoperation for aortic root issues.
- Review of hospital records for detailed information on reoperative procedures and outcomes.
Main Results:
- 41 out of 155 patients required reoperation for aortic root dilatation or autograft valve insufficiency.
- Freedom from reoperation was 86% at 10 years and 52% at 15 years.
- Reoperations included aortic root replacement or valve replacement, with a 94% survival rate at 5 years post-reoperation and no 30-day mortality.
Conclusions:
- Reoperation after pulmonary autograft implantation is becoming more frequent.
- Aortic root reoperations can be performed with minimal mortality and morbidity.
- Excellent follow-up results support the feasibility of reoperative aortic root surgery.
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