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Ten years of experience with the modified Ross procedure
P Stelzer1, S Weinrauch, R F Tranbaugh
1Division of Cardiac Surgery, Beth Israel Medical Center, New York City, NY 10003, USA.
The Journal of Thoracic and Cardiovascular Surgery
|May 30, 1998
Summary
The modified Ross procedure demonstrates excellent short- and long-term outcomes for aortic valve replacement in young patients. Caution is advised for active endocarditis cases.
Area of Science:
- Cardiovascular Surgery
- Aortic Valve Replacement
- Surgical Outcomes
Background:
- Assessing the modified Ross procedure for aortic valve replacement.
- Evaluating operative and long-term results of the procedure.
Purpose of the Study:
- To evaluate the efficacy and safety of the modified Ross procedure.
- To determine the long-term durability and complication rates.
Main Methods:
- Retrospective review of 145 patients (March 1987-April 1997).
- Analysis of patient demographics, diagnoses (aortic stenosis, regurgitation, mixed), and outcomes.
- Echocardiographic follow-up and reoperation data collection.
Main Results:
- Early mortality: 4.8%. Overall survival: 90.5% at 5 years, 84.5% at 7 years.
- Freedom from autograft reoperation: 93.9% at 5 years, 88.6% at 7 years.
- Complications included endocarditis and cerebrovascular accidents; active endocarditis impacted outcomes.
Conclusions:
- The modified Ross procedure offers excellent short- and long-term results for aortic valve replacement.
- It is a preferred option for young patients requiring aortic valve replacement.
- Use with caution in patients with active endocarditis due to adverse outcomes.