scholarly journals Transcatheter treatment of complex pulmonic and aortic valvular disease following failed Ross procedure

2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Mohammad Aziz ◽  
Rajbir Sidhu ◽  
Curtiss T. Stinis
Keyword(s):  
Valvular Disease ◽  
Ross Procedure

scholarly journals 1158 Autograft degeneration, clinical outcomes and predictors after 21 years follow up in Ross procedure. A single center experience

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
C Pericet Rodriguez ◽  
L Pardo Gonzalez ◽  
A Fernandez Ruiz ◽  
R Gonzalez Manzanares ◽  
M Ruiz Ortiz ◽  
...  
Keyword(s):  
Learning Curve ◽  
Valvular Disease ◽  
Ross Procedure ◽  
Aortic Lesion ◽  
Probability Of Survival ◽  
Single Center Experience ◽  
Echocardiographic Evaluation ◽  
Long Term Follow Up

Abstract Background Autograft regurgitation and the need of autograft reintervention are possible complications of Ross procedure. Purpose Our Aim was to identify rates of autograft degeneration, reintervention and predictive factors valvular disease in a prospective series of a reference cardiovascular surgery hospital. Methods Since November 1997 to July 2009, a total of 107 patients diagnosed of aortic valvular disease requiring surgical treatment underwent Ross surgery (mean age 30 ± 11 years, 69% male, 21 patients <18 years). In all of them, a comprehensive clinical and echocardiographic evaluation was performed before the intervention and at discharge, at 6, 12 months and annually after surgery. Results At the end of follow-up (21 years, median: 17 years, interquartile rank 12-19 years), echocardiographic and clinical data were available in 95 (89%) and 105 (98%) patients, respectively. 30 patients (32%) developed at least moderate aortic regurgitation and 18 of them (17%) required autograft reintervention. Probability of survival free from at least moderate autograft regurgitation and reintervention at the end of follow up was 71% and 83% respectively. Two patients died because of reintervention related complications. A larger native pulmonary annulus size was the only factor, associated to autograft reintervention (HR 1.24 95% [CI] 1.04-1.48, p = 0.01) and at least moderate autograft regurgitation (HR 1.19 95% [CI] 1.03-1.37, p = 0.02). Autograft reintervention was also associated to intervention in the learning curve period (first 12 cases, HR 3.78, [CI] 95% 1.42-10.08, p = 0.008). We found no significant association of these outcomes with previous cardiac surgery, age, sex, aetiology of aortic lesion or native aortic annulus diameter. Conclusion At long term follow-up after Ross procedure, 32% of patients developed at least moderate autograft regurgitation and 17% required autograft reintervention. A larger size of the native pulmonary annulus and intervention in the learning curve period were associated with the need of autograft surgery in the long term follow up.

scholarly journals Transcatheter Treatment of Complex Pulmonic and Aortic Valvular Disease Following Failed Ross Procedure

2021 ◽  
Author(s):  
Mohammad Aziz ◽  
Rajbir Sidhu ◽  
Curtiss Stinis
Keyword(s):  
Aortic Valve ◽  
Aortic Valve Replacement ◽  
Valve Replacement ◽  
Bicuspid Aortic Valve ◽  
Valvular Disease ◽  
Ross Procedure ◽  
Transcatheter Intervention

A 63 year old male with congenital bicuspid aortic valve status post Ross procedure complicated by multiple sternotomies to treat a failed pulmonic homograft and pseudoaneurysm repair of both ventricular outflow tracts, bioprosthetic aortic valve replacement with subsequent endocarditis who presented with recurrent pulmonic/aortic vavlulopathy successfully treated with transcatheter intervention.

Reoperations on the autograft and homograft after the Ross procedure: A report from the German-Dutch Ross registry

2009 ◽  
Vol 56 (S 01) ◽  
Author(s):  
EI Charitos ◽  
W Hemmer ◽  
JG Rein ◽  
J Takkenberg ◽  
AJJC Bogers ◽  
...  
Keyword(s):  
Ross Procedure

Impact of endocarditis after the Ross procedure – Results of the German Dutch Ross Registry

2012 ◽  
Vol 60 (S 01) ◽  
Author(s):  
EI Charitos ◽  
T Hanke ◽  
U Stierle ◽  
AW Gorski ◽  
WB Hemmer ◽  
...  
Keyword(s):  
Ross Procedure

Survival benefit of the Ross procedure in young adults: A retrospective single-center analysis over 15 years

2013 ◽  
Vol 61 (S 01) ◽  
Author(s):  
M Andreas ◽  
D Wiedemann ◽  
G Seebacher ◽  
E Reida ◽  
R Rosenhek ◽  
...  
Keyword(s):  
Young Adults ◽  
Survival Benefit ◽  
Ross Procedure ◽  
Single Center
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