Ross operation 23 years after surgery: it should not be a “forgotten” option

Nappi, F., Avtaar Singh, S. S., Spadaccio, C. and Acar, C. (2020) Ross operation 23 years after surgery: it should not be a “forgotten” option. Journal of Cardiac Surgery, 35(4), pp. 952-956. (doi: 10.1111/jocs.14489) (PMID:32115768)

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Introduction: The Ross procedure plays a pivotal part in both congenital and acquired diseases of the aortic valve, especially in young patients. The advantages of this procedure are widely known; however, long‐term studies have shown dilation of the pulmonary autograft (PA) in up to 20% of patients in the second decade postoperatively. Methods: Three cases (ages 38, 51, and 53) who underwent the Ross procedure 23 years ago for bicuspid valves and endocarditis. Cases were followed‐up with echocardiogram and computed tomography scan with three‐dimensional reconstructions. Results: The PA showed normal function with favorable geometry alongside the thoracic aorta, while the pulmonary homograft preserved its function with a low degree of calcification. The mean annual expansion of the autograft was only 0.15, 0.30, and 0.40 mm with no pathological dilation after 20 years Discussion: Ross operation provides excellent hemodynamic results while avoiding long‐term anticoagulation and might constitute a valid adjunct in selected categories such as young or endocarditis patients.

Item Type:Articles
Glasgow Author(s) Enlighten ID:Avtaar Singh, Sanjeet Singh and Spadaccio, Dr Cristiano
Authors: Nappi, F., Avtaar Singh, S. S., Spadaccio, C., and Acar, C.
College/School:College of Medical Veterinary and Life Sciences > School of Cardiovascular & Metabolic Health
Journal Name:Journal of Cardiac Surgery
ISSN (Online):1540-8191
Published Online:01 March 2020

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