Autograft stabilization has proven beneficial in adults but the same technique could
not always be adopted in growing children undergoing the Ross procedure. The major
concern regarding the longevity of autograft after the Ross operation in a growing
child is the lack of means to stabilize the aortic root. Herein we described a modified
root inclusion technique that achieves aortic root stabilization using autologous
tissue.
Keywords
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References
- Aortic valve surgery in children.J Thorac Cardiovasc Surg. 2021; 161: 244-250
- Aortic valve repair in children without use of a patch.J Thorac Cardiovasc Surg. 2021; 162: 1179-1189
- Outcomes after mechanical aortic valve replacement in children and young adults with congenital heart disease.J Thorac Cardiovasc Surg. 2019; 157: 329-340
- The utility of aortic valve leaflet reconstruction techniques in children and young adults.J Thorac Cardiovasc Surg. 2020; 159: 2369-2378
- Congenital aortic and truncal valve reconstruction utilizing the ozaki technique: Short –term clinical results.J Thorac Cardiovasc Surg. 2021; 161: 1567-1577
- Ross operation in children: 23-year experience from a single institution.Ann Thorac Surg. 2020; 109: 1251-1259
- Ross procedure in children: 17-year experience at a single institution.J Am Heart Assoc. 2013; 2e000153
- Aortic valve replacement and the ross operation in children and young adults.J Am Coll Cardiol. 2016; 67: 2858-2870
- Two decades of experience with the Ross operation in neonates, infants and children from the Italian Paediatric Ross Registry.Heart. 2014; 100: 1954-1959
- Strategies to minimise need for prosthetic aortic valve replacement in congenital aortic stenosis-value of the ross procedure.Semin Thorac Cardiovasc Surg. 2020; 32: 509-519
- The pulmonary autograft after the ross operation: Results of 25-year follow-up in a pediatric cohort.Ann Thorac Surg. 2021; 111: 159-167
- Autograft reinforcement to preserve autograft function after the ross procedure: A report from the german-dutch ross registry.Circulation. 2009; 120: S146-S154
- The Ross procedure using autologous support of the pulmonary autograft: Techniques and late results.J Thorac Cardiovasc Surg. 2015; 149: S46-S52
- Twenty-year analysis of autologous support of the pulmonary autograft in the Ross procedure.Ann Thorac Surg. 2013; 96: 823-829
- Modified Ross operation with reinforcement of the pulmonary autograft: Six-year results.J Thorac Cardiovasc Surg. 2010; 139: 1420-1423
- Improved survival after the ross procedure compared with mechanical aortic valve replacement.J Am Coll Cardiol. 2018; 71: 1337-1344
- Autograft stabilization for the Ross procedure.Op Tech Cardiothorac Surg. 2022; (in press)
- Ross procedures in children with previous aortic valve surgery.J Am Coll Cardiol. 2020; 76: 1564-1573
- The externally supported Ross procedure with Konno aortoventriculoplasty.J Thorac Cardiovasc Surg. 2021; 26: 487-509
Article Info
Publication History
Published online: July 20, 2022
Publication stage
In Press Journal Pre-ProofFootnotes
Disclosures: Nil.
Funding: Nil.
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Crown Copyright © 2022 Published by Elsevier Inc. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Commentary: Three techniques for providing “living” support of the autograft with the Ross operation in children to improve long-term outcomeOperative Techniques in Thoracic and Cardiovascular Surgery
- PreviewIn 1967 Donald Ross first described the use of a transplanted pulmonary autograft to replace an aortic valve in twelve patients stating that “As a living autograft, the transplanted pulmonary valve has the prospect of long-term or permanent survival, whilst retaining the advantages of an aortic homograft” the latter being the prevailing implant for aortic valve replacement at that time.1 Fast forward 55 years later, Mr. Ross’ prediction of long-term or permanent survival of the autograft remains controversial, particularly as it is applied to young and rapidly growing children and young infants who arguably would benefit the most from his procedure.
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