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Ann Thorac Surg 2001;72:1492-1495
© 2001 The Society of Thoracic Surgeons

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Original article: cardiovascular

Ross operation for active culture-positive aortic valve endocarditis with extensive paravalvular involvement

^a Department of Cardiac Surgery, Cardiologic Hospital, Lille, France
^b Department of Anesthesiology, University of Lille, Lille, France
^c Department of Echography, Cardiologic Hospital, University of Lille, Lille, France

Accepted for publication June 20, 2001.

* Address reprint requests to Dr Prat, Service de Chirurgie Cardiaque, Hôpital Cardiologique, Centre Hospitalier Regional Universitaire de Lille, Blvd du Pr J. Leclercq, 59037 Lille Cedex, France
e-mail: aprat{at}chru-lille.fr

Background. We evaluated the midterm results of the Ross operation in active advanced endocarditis.

Methods. Between June 1994 and June 2000 a pulmonary autograft aortic root replacement was performed in 11 consecutive patients who had urgent or emergent procedures for active endocarditis with extensive involvement of the aortic root (10 native, 1 prosthetic). Patients ranged in age from 26 to 45 years (median, 33 years). Indications for operation were uncontrolled infection (n = 5), hemodynamic deterioration (n = 3), or both (n = 3). Four patients were in the New York Heart Association class III, 6 in class IV, and 1 was operated on while in cardiogenic shock. Four patients (36%) suffered an embolic cerebrovascular accident preoperatively. The endocarditis affected the mitral valve in 2 patients and the tricuspid valve in 1 patient.

Results. There was no early or late death. Recurrent endocarditis was not detected in any of the patients during the follow-up period ranging up to 72 months (median, 40 months).

Conclusions. The autograft may well be the best substitute for aortic root reconstruction in advanced endocarditis.

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Invited commentary

Christopher Feindel
Ann. Thorac. Surg. 2001 72: 1495-1496. [Extract] [Full Text] [PDF]

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				C. Schmidtke, G. Dahmen, and H.-H. Sievers Subcoronary Ross Procedure in Patients With Active Endocarditis Ann. Thorac. Surg., January 1, 2007; 83(1): 36 - 39. [Abstract] [Full Text] [PDF]

				G. Matalanis, M. Durairaj, P. Shah, and B. Buxton Early and Midterm Results with The Ross Procedure: A Study of The First 31 Cases Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 336 - 340. [Abstract] [Full Text] [PDF]

				J.-M. Grinda, P. Brazille, M.-O. Bricourt, J.-L. Mainardi, G. Gonzales-Canali, C. Piketti, and A. Deloche Pulmonary homograft endocarditis after ross procedure Ann. Thorac. Surg., August 1, 2004; 78(2): 687 - 689. [Abstract] [Full Text] [PDF]