Late autograft dilation in the Ross procedure in children remains a risk. Three reports describe variations of the inclusion technique to mitigate this risk for different age groups and root sizes.
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Published online: September 21, 2022
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- The Ross and Ross-Konno Operation in Neonates and InfantsOperative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 4
- PreviewWhen replacement of the aortic valve in neonates and infants is required, the Ross-Konno procedure provides a high-quality left ventricular outflow with good mid-term durability. The procedural outcome is highly dependent on the pre-procedural condition of the neonate or infant. Most series contain substantial numbers of post-balloon valvotomy patients as emergent or urgent management of severe, acute regurgitation. In patients with compromised ventricular function, post-operative mechanical support may be required but is generally associated with a good outcome.
- Modified Root Inclusion Technique for the Ross Procedure in ChildrenOperative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 4
- PreviewAutograft 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.
- The Ross Procedure With the Inclusion TechniqueOperative Techniques in Thoracic and Cardiovascular SurgeryVol. 27Issue 4
- PreviewThe Ross procedure is superior as a valve substitute in children and early adulthood because of its clear survival benefits. The free standing-root implantation is associated with failure of the autograft and inclusion techniques that support externally the autograft warrants its longevity. The current technique consists in the implantation of the autograft within the native aortic root thereby both supporting the autograft and avoiding any coronary distortion.