The ross procedure in pediatric patients: A 20-year experience of ross procedure in a single institutionopen access
- Authors
- Yoon, D.W.; Yang, J.-H.; Jun, T.-G.; Park, P.W.
- Issue Date
- 2017
- Publisher
- Korean Society for Thoracic and Cardiovascular Surgery
- Keywords
- Allografts; Aortic valve; Autografts; Pediatric
- Citation
- Korean Journal of Thoracic and Cardiovascular Surgery, v.50, no.4, pp 235 - 241
- Pages
- 7
- Journal Title
- Korean Journal of Thoracic and Cardiovascular Surgery
- Volume
- 50
- Number
- 4
- Start Page
- 235
- End Page
- 241
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70932
- DOI
- 10.5090/kjtcs.2017.50.4.235
- ISSN
- 2233-601X
2093-6516
- Abstract
- The Ross/Ross-Konno procedure is considered a good option for irreparable aortic valve disease in pediatric patients because of its hemodynamic performance and potential for growth of the pulmonary autograft. This study is a review of the long-term results of our 20-year experience with the Ross and Ross-Konno operations in a single institution. Methods: Between June 1995 and January 2016, 16 consecutive patients (mean age, 6.0±5.9 years; range, 16 days to 17.4 years) underwent either a Ross operation (n=9) or a Ross-Konno operation (n=7). The study included 12 males and 4 females, with a median follow-up period of 47 months (range, 6 to 256 months). Results: T here were no c ases o f in-hospital or l ate mortality. S ix reoperations were performed in 5 patients. Four patients underwent right ventricular-pulmonary artery (RV-PA) conduit replacement. Two patients underwent concomitant replacement of the pulmonary autograft and RV-PA conduit 10 years and 8 years after the Ross operation, respectively. The rate of freedom from adverse outcomes of the pulmonary autograft was 88% and 70% at 5 and 10 years, respectively. The rate of freedom from valve-related reoperations was 79% and 63% at 5 and 10 years, respectively. Conclusion: Pulmonary autografts demonstrated good durability with low mortality. The Ross/Ross-Konno procedure is a good option that can be performed safely in pediatric patients with aortic valve disease, even in a small-volume center. © The Korean Society for Thoracic and Cardiovascular Surgery. 2017.
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