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[Aortic valve replacement with pulmonary autograft (Ross procedure). Initial experience]
F D Affonso da Costa1, R Poffo, M A Costa Lima
1Santa Casa de Misericórdia de Curitiba.
Arquivos Brasileiros De Cardiologia
|January 1, 1996
Summary
Pulmonary autograft aortic valve replacement shows excellent outcomes in four patients, demonstrating good graft function and recovery. This aortic valve surgery technique offers a promising option for patients with aortic valve disease.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Cardiac Valve Surgery
Context:
- Aortic valve disease necessitates surgical intervention.
- Pulmonary autograft is an alternative to mechanical or bioprosthetic valves.
- Root replacement technique offers a comprehensive solution.
Purpose:
- To report the initial surgical experience with pulmonary autograft for aortic valve replacement.
- To evaluate the efficacy and safety of this technique in a small cohort.
Summary:
- Four male patients (23-46 years) underwent aortic valve replacement using the pulmonary autograft technique with root replacement.
- Right ventricular outflow tracts were reconstructed with homografts.
- Post-operative assessment included bidimensional echocardiography (ECO) and hemodynamic studies.
Impact:
- All patients experienced excellent recovery without inotropic support.
- Autografts showed excellent function with minimal gradients and regurgitation.
- Homografts also demonstrated good function, supporting the viability of the procedure.