Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective
Objectives: To evaluate our 12-year experience with the Ross procedure in adults. Methods: A retrospective analysis of 215 cases of the Ross procedure was performed. The mean age of the patients was 36 ± 11.1 years, and the male to female ratio was 75% to 25%, respectively. The pulmonary autograft w...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-06-01
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| Series: | JTCVS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666273622001899 |
| _version_ | 1818218608083337216 |
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| author | Bashir Tsaroev, MD Igor Chernov, MD, PhD Soslan Enginoev, MD, PhD Muslim Mustaev, MD, PhD |
| author_facet | Bashir Tsaroev, MD Igor Chernov, MD, PhD Soslan Enginoev, MD, PhD Muslim Mustaev, MD, PhD |
| author_sort | Bashir Tsaroev, MD |
| collection | DOAJ |
| description | Objectives: To evaluate our 12-year experience with the Ross procedure in adults. Methods: A retrospective analysis of 215 cases of the Ross procedure was performed. The mean age of the patients was 36 ± 11.1 years, and the male to female ratio was 75% to 25%, respectively. The pulmonary autograft was placed into the aortic position using the full-root replacement technique and its modified versions. The right ventricular outflow tract was reconstructed using a pulmonary homograft in all cases. Results: The 30-day mortality after the operation was 0.9% (2 patients). The median duration of follow-up was 6.1 years (interquartile range, 6.5 years) and was complete in 86% of cases. The survival at 12 years was 94.7% and was comparable with the survival rate of the general population matched for age and sex. At the end of the follow-up, freedom from reoperation due to pulmonary autograft and homograft dysfunction was 89.1% and 99%, respectively. Conclusions: In our series, the Ross procedure resulted in low early mortality and excellent survival in adults. The long-term survival was not statistically different from the survival of the general population. The pulmonary homograft offered an excellent durability and freedom from reoperation. |
| first_indexed | 2024-12-12T07:26:28Z |
| format | Article |
| id | doaj.art-debb634826094ddd9f742be70ebf643c |
| institution | Directory Open Access Journal |
| issn | 2666-2736 |
| language | English |
| last_indexed | 2024-12-12T07:26:28Z |
| publishDate | 2022-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Open |
| spelling | doaj.art-debb634826094ddd9f742be70ebf643c2022-12-22T00:33:08ZengElsevierJTCVS Open2666-27362022-06-0110140147Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspectiveBashir Tsaroev, MD0Igor Chernov, MD, PhD1Soslan Enginoev, MD, PhD2Muslim Mustaev, MD, PhD3Federal State Budgetary Institution “Federal Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation, Astrakhan, Astrakhan Region, Russia; Department of Vascular Surgery, Alexandro-Mariinsky Regional Clinical Hospital, Astrakhan, Astrakhan Region, Russia; Address for reprints: Bashir Tsaroev, MD, Department of Vascular Surgery, Alexandro-Mariinsky Regional Clinical Hospital, 2 Tatisheva, Astrakhan, Astrakhan region, Russia, 414041.Federal State Budgetary Institution “Federal Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation, Astrakhan, Astrakhan Region, RussiaFederal State Budgetary Institution “Federal Center for Cardiovascular Surgery” of the Ministry of Health of the Russian Federation, Astrakhan, Astrakhan Region, Russia; Department of Cardiovascular Surgery, Astrakhan State Medical University, Astrakhan, Astrakhan Region, RussiaDepartment of Adult Cardiac Surgery, Guy's and St Thomas' NHS Foundation Trust, London, United KingdomObjectives: To evaluate our 12-year experience with the Ross procedure in adults. Methods: A retrospective analysis of 215 cases of the Ross procedure was performed. The mean age of the patients was 36 ± 11.1 years, and the male to female ratio was 75% to 25%, respectively. The pulmonary autograft was placed into the aortic position using the full-root replacement technique and its modified versions. The right ventricular outflow tract was reconstructed using a pulmonary homograft in all cases. Results: The 30-day mortality after the operation was 0.9% (2 patients). The median duration of follow-up was 6.1 years (interquartile range, 6.5 years) and was complete in 86% of cases. The survival at 12 years was 94.7% and was comparable with the survival rate of the general population matched for age and sex. At the end of the follow-up, freedom from reoperation due to pulmonary autograft and homograft dysfunction was 89.1% and 99%, respectively. Conclusions: In our series, the Ross procedure resulted in low early mortality and excellent survival in adults. The long-term survival was not statistically different from the survival of the general population. The pulmonary homograft offered an excellent durability and freedom from reoperation.http://www.sciencedirect.com/science/article/pii/S2666273622001899Ross procedureaortic valve replacementpulmonary autograft |
| spellingShingle | Bashir Tsaroev, MD Igor Chernov, MD, PhD Soslan Enginoev, MD, PhD Muslim Mustaev, MD, PhD Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective JTCVS Open Ross procedure aortic valve replacement pulmonary autograft |
| title | Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective |
| title_full | Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective |
| title_fullStr | Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective |
| title_full_unstemmed | Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective |
| title_short | Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experienceCentral MessagePerspective |
| title_sort | survival and freedom from reoperation after the ross procedure in a russian adult population a single center experiencecentral messageperspective |
| topic | Ross procedure aortic valve replacement pulmonary autograft |
| url | http://www.sciencedirect.com/science/article/pii/S2666273622001899 |
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