ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Richard G. Ohye
Edward L. Bove
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Ohye, R. G.
Right arrow Articles by Bove, E. L.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Ohye, R. G.
Right arrow Articles by Bove, E. L.
Related Collections
Right arrow Congenital - acyanotic

Ann Thorac Surg 2001;72:823-830
© 2001 The Society of Thoracic Surgeons

Original article: cardiovascular

The Ross/Konno procedure in neonates and infants: intermediate-term survival and autograft function

Richard G. Ohye, MDa, Carlen A. Gomez, MDb, Bonita J. Ohye, RNa, Caren S. Goldberg, MDb, Edward L. Bove, MDa

a Division of Pediatric Cardiovascular Surgery, University of Michigan School of Medicine, Ann Arbor, Michigan, USA
b Division of Pediatric Cardiology, University of Michigan School of Medicine, Ann Arbor, Michigan, USA

Address reprint requests to Dr Ohye, Division of Pediatric Cardiovascular Surgery, University of Michigan School of Medicine, F7830 Mott, 1500 E Medical Center Dr, Ann Arbor, MI 48109
e-mail: ohye{at}umich.edu

Presented at the Thirty-seventh Annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 29–31, 2001.

Background. The Ross procedure has been increasingly applied to neonates and infants. Addition of a modified Konno-type enlargement of the aortic annulus allows the application of this procedure to neonates and infants with significant annular hypoplasia. The potential for growth and the proven durability make the autograft an ideal aortic valve replacement.

Methods. Between March 1993 and December 2000, 10 patients under 1 year of age underwent a Ross/Konno procedure at our institution (range, 2 to 349 days; median 16). All patients had severe to critical aortic stenosis. All patients required aortic annulus enlargement for size mismatch between the aortic and pulmonary valves.

Results. There were no deaths at a median follow-up of 48 months (range, 1 to 74 months). All patients had none to mild aortic stenosis on Doppler echocardiography. Eight patients had a 0 to 1+ aortic insufficiency, 1 patient had a 2+ aortic insufficiency, and 1 patient had a 3+ aortic insufficiency. Aortic annular dilatation was not observed. Aortic sinus dilatation occurred initially (mean change in z-value: 0 to 12 months, +2.1) and then stabilized (mean change in z-value: 12 to > 36 months, +0.6). No patient required additional procedures for aortic valve disease. Two patients required three pulmonary allograft replacements.

Conclusions. The Ross procedure with a modified Konno-type enlargement of the aortic annulus is an excellent approach to aortic valve disease in the neonate and infant. The procedure can be accomplished with low morbidity and mortality, and low rates of reoperation. The pulmonary autograft demonstrates durability without developing aortic stenosis, aortic insufficiency, or progressive dilatation. Enlargement of the aortic annulus parallels somatic growth.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
S. K. Pasquali, B. S. Marino, J. R. Kaltman, A. J. Schissler, G. Wernovsky, M. S. Cohen, T. L. Spray, and R. E. Tanel
Rhythm and Conduction Disturbances at Midterm Follow-up After the Ross Procedure in Infants, Children, and Young Adults.
Ann. Thorac. Surg., June 1, 2008; 85(6): 2072 - 2078.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
A. Kadner, O. Raisky, A. Degandt, D. Tamisier, D. Bonnet, D. Sidi, and P. R. Vouhe
The Ross Procedure in Infants and Young Children
Ann. Thorac. Surg., March 1, 2008; 85(3): 803 - 808.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. A. Bacha
Invited Commentary
Ann. Thorac. Surg., March 1, 2008; 85(3): 808 - 809.
[Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
B. Alsoufi, T. Karamlou, B. W. McCrindle, and C. A. Caldarone
Management options in neonates and infants with critical left ventricular outflow tract obstruction
Eur. J. Cardiothorac. Surg., June 1, 2007; 31(6): 1013 - 1021.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
S. K. Pasquali, D. Shera, G. Wernovsky, M. S. Cohen, S. Tabbutt, S. Nicolson, T. L. Spray, and B. S. Marino
Midterm outcomes and predictors of reintervention after the Ross procedure in infants, children, and young adults
J. Thorac. Cardiovasc. Surg., April 1, 2007; 133(4): 893 - 899.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
R. M. Suri, J. A. Dearani, H. V. Schaff, G. K. Danielson, and F. J. Puga
Long-term results of the Konno procedure for complex left ventricular outflow tract obstruction.
J. Thorac. Cardiovasc. Surg., November 1, 2006; 132(5): 1064 - 1071.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. W. Brown, M. Ruzmetov, P. Vijay, M. D. Rodefeld, and M. W. Turrentine
The ross-konno procedure in children: outcomes, autograft and allograft function, and reoperations.
Ann. Thorac. Surg., October 1, 2006; 82(4): 1301 - 1306.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
I. A. Williams, J. M. Quaegebeur, D. T. Hsu, W. M. Gersony, F. Bourlon, R. S. Mosca, D. R. Gersony, and D. E. Solowiejczyk
Ross Procedure in Infants and Toddlers Followed Into Childhood
Circulation, August 30, 2005; 112(9_suppl): I-390 - I-395.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
M. G. Hazekamp, H. B. Grotenhuis, P. H. Schoof, M. E.B. Rijlaarsdam, J. Ottenkamp, and R. A.E. Dion
Results of the Ross operation in a pediatric population
Eur. J. Cardiothorac. Surg., June 1, 2005; 27(6): 975 - 979.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. Nemoto, C. Sudarshan, and C. P. R. Brizard
Successful aortic root remodeling for repair of a dilated pulmonary autograft after a ross-Konno procedure in early childhood
Ann. Thorac. Surg., September 1, 2004; 78(3): e45 - e47.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. Lacour-Gayet, H. Sauer, K. Ntalakoura, A. Muller, V. Razek, J. Weil, and C. Haun
Ross-Konno procedure in neonates: report of three patients
Ann. Thorac. Surg., June 1, 2004; 77(6): 2223 - 2225.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
V. Hraska, M. Krajci, Ch. Haun, K. Ntalakoura, V. Razek, F. Lacour-Gayet, J. Weil, and H. Reichenspurner
Ross and Ross-Konno procedure in children and adolescents: mid-term results
Eur. J. Cardiothorac. Surg., May 1, 2004; 25(5): 742 - 747.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
T. Ishizaka, E. J. Devaney, S. R. Ramsburgh, T. Suzuki, R. G. Ohye, and E. L. Bove
Valve sparing aortic root replacement for dilatation of the pulmonary autograft and aortic regurgitation after the Ross procedure
Ann. Thorac. Surg., May 1, 2003; 75(5): 1518 - 1522.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
K. Samir, A. Riberi, B. Kreitmann, and D. Metras
The Ross operation as an ideal choice for aortic valve replacement in patients with congenital disease
J. Thorac. Cardiovasc. Surg., March 1, 2003; 125(3): 738 - 739.
[Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
J. M. Pearl, L. W. Cripe, and P. B. Manning
Biventricular repair after Norwood palliation
Ann. Thorac. Surg., January 1, 2003; 75(1): 132 - 137.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2001 by The Society of Thoracic Surgeons.