Reinforced Ross operation and intermediate to long term follow up.

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  • Additional Information
    • Source:
      Publisher: AME Publishing Company Country of Publication: China NLM ID: 101533916 Publication Model: Print Cited Medium: Print ISSN: 2072-1439 (Print) Linking ISSN: 20721439 NLM ISO Abbreviation: J Thorac Dis Subsets: PubMed not MEDLINE
    • Publication Information:
      Publication: Hong Kong : AME Publishing Company
      Original Publication: Hong Kong : Pioneer Bioscience Pub. Co.
    • Abstract:
      The Ross operation for aortic valve replacement continues to be a controversial option because of concerns related to late autograft dilation and progressive neo-aortic regurgitation. We described a technique in 2005 to address this problem, in which we place the entire autograft in a Dacron tube which makes it theoretically unlikely, if not impossible, for it to dilate-the reinforced Ross procedure. Since 2004, we have operated on 25 patients using this technique. Median length of follow-up in our cohort was 6 years, with 14 patients having 5 years or more of follow-up. Our data demonstrate the externally supported, or reinforced Ross technique using a straight graft is a safe and effective technique in older children, adolescents, and young adult patients. At intermediate follow-up, patients who underwent a reinforced Ross technique were less likely to have neoaortic root dilatation.
      Competing Interests: Conflicts of Interest: The series “Management of Congenital Heart Disease” was commissioned by the editorial office without any funding or sponsorship. The authors have no conflicts of interest to declare.
      (2020 Journal of Thoracic Disease. All rights reserved.)
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    • Contributed Indexing:
      Keywords: Aortic valve/surgery; blood vessel prosthesis implantation/methods; dilation, pathologic/prevention and control; heart valve diseases/surgery
    • Publication Date:
      Date Created: 20200411 Latest Revision: 20200928
    • Publication Date:
      20231215
    • Accession Number:
      PMC7139019
    • Accession Number:
      10.21037/jtd.2019.09.53
    • Accession Number:
      32274203