Please use this identifier to cite or link to this item: http://hdl.handle.net/11434/316
Full metadata record
DC FieldValueLanguage
dc.contributor.authorSkillington, Peter-
dc.contributor.authorLarobina, Marco-
dc.contributor.otherMokhles, M. Mostafa-
dc.contributor.otherTakkenberg, Johanna-
dc.contributor.otherO'Keefe, Michael-
dc.contributor.otherWynne, Rochelle-
dc.contributor.otherTatoulis, James-
dc.date2014-09-17-
dc.date.accessioned2015-08-18T22:29:55Z-
dc.date.available2015-08-18T22:29:55Z-
dc.date.issued2015-02-
dc.identifier.citationJ Thorac Cardiovasc Surg. 2015 Feb;149(2 Suppl):S46-52.en_US
dc.identifier.issn0022-5223en_US
dc.description.abstractOBJECTIVES: It is hypothesized that by performing radical aortic root manipulation and then autologous support for the pulmonary autograft in the Ross procedure, this will maintain aortic root size and should, in turn, lead to the demonstrated low incidence of late aortic regurgitation and need for reoperation on the aortic root and valve. METHODS: Aortic root size was measured echocardiographically both preoperatively and then at second yearly intervals in 322 consecutive patients who underwent a Ross operation between October 1992 and June 2013 with autologous support of the pulmonary autograft root using the patient's own aorta. This technique, a variant of the inclusion cylinder method, has been developed with the aim of minimizing prosthetic materials in the aortic root. RESULTS: Measures to reduce aortic root size included annulus reduction in 201 patients (62.4%) and reduction in aortic sinus or sinotubular junction in 159 patients (49.4%). Maximal aortic root diameter postoperatively at 5, 10, and 15 years was 34.0, 34.6, and 34.7 mm, respectively. Eleven reoperations were required during the study period for progressive aortic regurgitation (none for aortic root enlargement), with freedom from reoperation being 96% at both 15 years and 18 years. Preoperative pure aortic regurgitation, aortic annulus, and sinotubular junction enlargement were risk factors for reoperation. CONCLUSIONS: This inclusion method of pulmonary autograft implantation leads to minimal increases in aortic root size over time, with no reoperations for aortic root dilatation and a low requirement for aortic valve reoperation. The Ross procedure deserves to remain on the surgical menu for aortic valve replacement.en_US
dc.publisherThe American Association for Thoracic Surgeryen_US
dc.subjectDepartment of Cardiothoracic Surgery, Epworth Hospital, Melbourne, Australiaen_US
dc.subjectPulmonary Autograften_US
dc.subjectRoss Procedureen_US
dc.subjectAortic Root Manipulationen_US
dc.subjectAutologous Supporten_US
dc.subjectEchocardiographical measurementen_US
dc.titleThe Ross procedure using autologous support of the pulmonary autograft: techniques and late resultsen_US
dc.typeJournal Articleen_US
dc.identifier.doi10.1016/j.jtcvs.2014.08.068en_US
dc.identifier.journaltitleThe Journal of Thoracic and Cardiovascular Surgeryen_US
dc.description.pubmedurihttp://www.ncbi.nlm.nih.gov/pubmed/25439787en_US
dc.description.affiliatesDepartment of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.en_US
dc.description.affiliatesDepartment of Cardiothoracic Surgery, Royal Melbourne Hospital, Melbourne, Australiaen_US
dc.description.affiliatesDepartment of Nursing, University of Melbourne, Parkville, Australia.en_US
dc.description.affiliatesDepartment of Surgery, University of Melbourne, Parkville, Australiaen_US
dc.type.studyortrialDescriptive Studyen_US
dc.type.contenttypeTexten_US
Appears in Collections:Cardiac Sciences

Files in This Item:
There are no files associated with this item.


Items in Epworth are protected by copyright, with all rights reserved, unless otherwise indicated.