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Pulmonary autograft: an American experience
1Department of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73126.
Journal of Cardiac Surgery
|December 1, 1987
Summary
Pulmonary valve autograft replacement of the aortic valve offers a viable surgical option. This technique demonstrated clinical improvement in all nine patients, with one requiring reoperation for aortic insufficiency.
Area of Science:
- Cardiovascular Surgery
- Cardiac Valve Replacement
- Thoracic Surgery
Background:
- The pulmonary autograft (Ross procedure) is a complex aortic valve replacement technique.
- Sir Donald Ross pioneered this method in London.
- Replicating this experience in the United States is the focus of this study.
Purpose of the Study:
- To evaluate the feasibility and outcomes of pulmonary valve autograft replacement of the aortic valve in the United States.
- To assess the clinical results and technical considerations of this procedure.
- To compare early outcomes with established international experiences.
Main Methods:
- Nine patients underwent aortic valve replacement using a pulmonary autograft.
- Patients ranged from 7 to 34 years old.
- Indications included aortic stenosis (6 patients) and aortic regurgitation (3 patients); 3 patients had concomitant procedures.
Main Results:
- All nine patients survived the initial surgery.
- All patients experienced significant clinical improvement post-operatively.
- One patient required reoperation due to progressive aortic insufficiency.
Conclusions:
- Pulmonary valve autograft replacement is a successful surgical option for aortic valve disease.
- The procedure offers good short-term clinical outcomes.
- Careful patient selection and surgical technique are crucial for optimal results.