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Modified Root Inclusion Technique for the Ross Procedure in Children

  • Igor E. Konstantinov
    Correspondence
    Address reprint requests to: Igor E. Konstantinov, MD, PhD, FRACS, Department of Cardiac Surgery, Royal Children's Hospital, Flemington Rd, Parkville, VIC 3052, Australia.
    Affiliations
    Department of Cardiac Surgery, Royal Children's Hospital, Melbourne, Australia.

    Department of Paediatrics, University of Melbourne, Melbourne, Australia.

    Heart Research Group, Murdoch Children's Research Institute, Melbourne, Australia.

    Melbourne Children's Centre for Cardiovascular Genomics and Regenerative Medicine, Melbourne, Australia.
    Search for articles by this author
  • Edward Buratto
    Correspondence
    Address reprint requests to: Igor E. Konstantinov, MD, PhD, FRACS, Department of Cardiac Surgery, Royal Children's Hospital, Flemington Rd, Parkville, VIC 3052, Australia.
    Affiliations
    Department of Paediatrics, University of Melbourne, Melbourne, Australia.

    Heart Research Group, Murdoch Children's Research Institute, Melbourne, Australia.

    The Royal Melbourne Hospital, Melbourne, Australia.
    Search for articles by this author
      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.

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      Linked Article

      • Commentary: Three techniques for providing “living” support of the autograft with the Ross operation in children to improve long-term outcome
        Operative Techniques in Thoracic and Cardiovascular Surgery
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          In 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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