| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
a Department of Cardiovascular Surgery, University Hospital, Berne, Switzerland
b Department of Pediatric Cardiac Surgery, Hôpital Necker Enfants-Malades, Paris, France
c Department of Pediatric Cardiology, Hôpital Necker Enfants-Malades, Paris, France
Accepted for publication July 18, 2007.
* Address correspondence to Dr Kadner, Department of Cardiovascular Surgery, University Hospital, Berne, Freiburgerstrasse, Berne, 3010, Switzerland (Email: a.kadner{at}web.de).
Background: This study reviews our experience with the Ross procedure in infants and young children.
Methods: From September 1993 to September 2004, 52 children less than 15 years of age underwent a Ross procedure. The patients ranged in age from 4 days to 15 years old (median, 5 years). Fifteen patients (29%) were less than 2 years of age. The predominant indication for the Ross procedure was aortic stenosis. Sixteen patients underwent a Ross-Konno procedure for severe left ventricular outflow tract obstruction. Thirty-four patients had 48 previous interventions. Preoperatively, 6 patients showed severe left ventricular dysfunction, and 2 of the patients required ventilation and inotropic support. Concomitant procedures were performed in 8 patients. Three patients had a mitral valve replacement, 2 patients had a ventricular septal defect closure and an aortic arch reconstruction, 2 patients had aortic arch reconstructions, and 1 patient had resection of a coarctation and a ventricular septal defect closure.
Results: Patients were followed up for a median of 43 months (range, 1 to 130). Overall survival was 85% ± 5% at 1 and 82% ± 5% at 2, 5, and 10 years. Hospital mortality was 5 of 52 patients (9.6%). All deaths occurred in neonates or infants less than 2 months of age, who needed urgent surgery. Three patients died late of noncardiac causes. At last follow-up, all patients were classified in New York Heart Association functional class I or II. No patient had endocarditis of the autograft or the right ventricular outflow tract replacement. During the follow-up, no event of thrombembolism was observed. No patient required the insertion of a permanent pacemaker. Overall freedom from reoperation is 57% ± 15% at 10 years. One patient required the replacement of the autograft at 6 months postoperatively. The development of mild aortic insufficiency was observed in 24 patients, and moderate aortic insufficiency in 1 patient during follow-up. Freedom from reoperation for the right ventricular outflow tract replacement is 60% ± 15% at 10 years.
Conclusions: The Ross procedure represents an attractive approach to aortic valve disease in young children. However, a high early mortality rate has to be considered when performing this procedure in neonates or infants who present in critical preoperative condition.
Related Article
Ann. Thorac. Surg. 2008 85: 808-809.
This article has been cited by other articles:
|
|
 |
|
  B. Alsoufi, B. Fadel, Z. Bulbul, M. Al-Ahmadi, M. Al-Fayyadh, A. Kalloghlian, G. Siblini, and Z. Al-Halees Cardiac reoperations following the Ross procedure in children: spectrum of surgery and reoperation results Eur J Cardiothorac Surg, January 20, 2012; (2012) ezr288v1. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Alsoufi, C. Manlhiot, B. Fadel, M. Al-Fayyadh, B. W. McCrindle, A. Alwadai, and Z. Al-Halees Is the Ross Procedure a Suitable Choice for Aortic Valve Replacement in Children With Rheumatic Aortic Valve Disease? World Journal for Pediatric and Congenital Heart Surgery, January 1, 2012; 3(1): 8 - 15. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. B. Clark, L. B. Pauliks, A. Rogerson, A. R. Kunselman, and J. L. Myers The Ross Operation in Children and Young Adults: A Fifteen-Year, Single-Institution Experience Ann. Thorac. Surg., June 1, 2011; 91(6): 1936 - 1942. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Alsoufi, C. Manlhiot, B. Fadel, M. Al-Ahmadi, M. Tamim, B. W. McCrindle, C. C. Canver, and Z. Al-Halees The Ross procedure in children: preoperative haemodynamic manifestation has significant effect on late autograft re-operation Eur J Cardiothorac Surg, November 1, 2010; 38(5): 547 - 555. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Frigiola, A. Varrica, A. Satriano, A. Giamberti, G. Pome, R. Abella, M. Carminati, C. Carlucci, M. Ranucci, and Surgical and Clinical Outcome REsearch (SCORE) Gro Neoaortic Valve and Root Complex Evolution After Ross Operation in Infants, Children, and Adolescents Ann. Thorac. Surg., October 1, 2010; 90(4): 1278 - 1285. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Alsoufi, Z. Al-Halees, C. Manlhiot, A. Awan, M. Al-Ahmadi, B. W. McCrindle, M. Al-Joufan, and C. C. Canver Intermediate results following complex biventricular repair of left ventricular outflow tract obstruction in neonates and infants Eur J Cardiothorac Surg, October 1, 2010; 38(4): 431 - 438. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Shinkawa, E. L. Bove, J. C. Hirsch, E. J. Devaney, and R. G. Ohye Intermediate-Term Results of the Ross Procedure in Neonates and Infants Ann. Thorac. Surg., June 1, 2010; 89(6): 1827 - 1832. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. J. Hickey, T. Yeh Jr., J. P. Jacobs, C. A. Caldarone, C. I. Tchervenkov, B. W. McCrindle, F. Lacour-Gayet, and C. Pizarro Ross and Yasui operations for complex biventricular repair in infants with critical left ventricular outflow tract obstruction Eur J Cardiothorac Surg, February 1, 2010; 37(2): 279 - 288. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. C. Brown, D. Boshoff, B. Eyskens, and M. Gewillig Hybrid approach as bridge to biventricular repair in a neonate with critical aortic stenosis and borderline left ventricle Eur J Cardiothorac Surg, June 1, 2009; 35(6): 1080 - 1082. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. Alsoufi, Z. Al-Halees, C. Manlhiot, B. W. McCrindle, M. Al-Ahmadi, A. Sallehuddin, C. C. Canver, Z. Bulbul, M. Joufan, and B. Fadel Mechanical valves versus the Ross procedure for aortic valve replacement in children: Propensity-adjusted comparison of long-term outcomes. J. Thorac. Cardiovasc. Surg., February 1, 2009; 137(2): 362 - 370.e9. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. A. Bacha Invited Commentary Ann. Thorac. Surg., March 1, 2008; 85(3): 808 - 809. [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 |
