The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 4 , Pages 893-899 , April 2007

Midterm outcomes and predictors of reintervention after the Ross procedure in infants, children, and young adults

Presented at the American Academy of Pediatrics Section on Cardiology and Cardiac Surgery 2005 Scientific Session. Dr Pasquali was a Young Investigator Award recipient.

  • Sara K. Pasquali, MD

      Affiliations

    • Division of Cardiology in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • ,
  • David Shera, ScD

      Affiliations

    • Division of Biostatistics and Epidemiology in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • ,
  • Gil Wernovsky, MD

      Affiliations

    • Division of Cardiology in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • ,
  • Meryl S. Cohen, MD

      Affiliations

    • Division of Cardiology in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • ,
  • Sarah Tabbutt, MD, PhD

      Affiliations

    • Division of Cardiology in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • Division of Critical Care Medicine in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • ,
  • Susan Nicolson, MD

      Affiliations

    • Division of Anesthesia in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • ,
  • Thomas L. Spray, MD

      Affiliations

    • Division of Cardiothoracic Surgery in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa.
    • ,
  • Bradley S. Marino, MD, MPP, MSCE

      Affiliations

    • Division of Cardiology in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • Division of Critical Care Medicine in the Departments of Pediatrics, Surgery, and Anesthesia/Critical Care Medicine at The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, Pa
    • Corresponding Author InformationAddress for reprints: Bradley S. Marino, MD, MPP, MSCE, Assistant Professor of Anesthesia and Pediatrics, University of Pennsylvania School of Medicine, The Children’s Hospital of Philadelphia, 7th Floor Main, 34th St. and Civic Center Boulevard, Philadelphia, PA 19104.

Received 13 July 2006 ,Revised 3 October 2006 ,Accepted 18 December 2006.

References 

  1. Ross DN. Replacement of the aortic and mitral valves with a pulmonary autograft. Lancet. 1967;2:956–958
  2. Elkins RC, Knott-Craig CJ, Ward KE, et al. Pulmonary autograft in children: realized growth potential. Ann Thorac Surg. 1994;57:1387–1394
  3. Elkins RC, Lane MM, McCue C. Ross operation in children: late results. J Heart Valve Dis. 2001;10:736–741
  4. Gerosa G, McKay R, Ross DN. Replacement of the aortic valve root with a pulmonary autograft in children. Ann Thorac Surg. 1991;51:424–429
  5. Kouchoukos NT, Davila-Roman VG, Spray TL, et al. Replacement of the aortic root with a pulmonary autograft in children and young adults with aortic valve disease. N Engl J Med. 1994;330:1–6
  6. Reddy VM, Rajasinghe HA, McElhinney DB, et al. Extending the limits of the Ross procedure. Ann Thorac Surg. 1995;60:S600–S603
  7. Reddy VM, Rajasinghe HA, Teitel DF, et al. Atrioventriculoplasty with the pulmonary autograft: the “Ross-Konno” procedure. J Thorac Cardiovasc Surg. 1996;111:158–167
  8. Starnes VA, Luciani GB, Wells WJ, et al. Aortic root replacement with the pulmonary autograft in children with complex left heart obstruction. Ann Thorac Surg. 1996;62:442–449
  9. Hvass U, Chatel D, Calliani J, et al. Relief of complex left ventricular outflow tract obstruction with pulmonary autografts. J Thorac Cardiovasc Surg. 1995;109:1019
  10. Marino BS, Wernovsky G, Rychik J, et al. Early results of the Ross procedure in simple and complex left heart disease. Circulation. 1999;100(suppl II):II-162–II-166
  11. Ohye RG, Gomez CA, Ohye BJ, Goldberg CS, Bove EL. The Ross/Konno procedure in neonates and infants: Intermediate-term survival and autograft function. Ann Thorac Surg. 2001;72:823–830
  12. Ward KE, Elkins RC, Overholt ED, et al. Evaluation of cryopreserved homografts in the right ventricular outflow tract after the Ross procedure: intermediate term follow-up. J Heart Valve Dis. 1997;6:130–133
  13. Luciani GB, Favaro A, Casali G, Santini F, Mazzucco A. Ross operation in the young: a ten-year experience. Ann Thorac Surg. 2005;80:2271–2277
  14. Hraska V, Krajci M, Haun C, et al. Ross and Ross-Konno procedure in children and adolescents: mid-term results. Eur J Cardiothorac Surg. 2004;25:742–747
  15. Hazekamp MG, Grotenhuis HB, Schoof PH, Rijlaarsdam MEB, Ottenkamp J, Dion RAE. Results of the Ross operation in a pediatric population. Eur J Cardiothorac Surg. 2005;27:975–979
  16. Tantengco MVT, Humes RA, Clapp SK, et al. Aortic root dilatation after the Ross procedure. Am J Cardiol. 1999;83:915–920
  17. Solowiejczyk DE, Bourlon F, Apfel H, et al. Serial echocardiographic measurements of the pulmonary autograft in the aortic valve position after the Ross operation in a pediatric population using normal pulmonary artery dimensions as the reference standard. Am J Cardiol. 2000;85:1119–1123
  18. Spray TL. Technique of pulmonary autograft aortic valve replacement in children (The Ross Procedure). Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 1998;1:165–178
  19. Nimaya K, Elkins RC, Knott-Craig CJ, Santangelo KL, Cannon MB, Lane MM. Normalization of left ventricular dimensions after Ross operation with aortic annular reduction. Ann Thorac Surg. 1999;68:812–818
  20. Tweddell JS, Pelech AN, Frommelt PC, et al. Factors affecting longevity of homograft valves used in right ventricular outflow tract reconstruction for congenital heart disease. Circulation. 2000;102:III130–III135
  21. Carr-White GS, Kilner PJ, Hon JK, et al. Incidence, location, pathology, and significance of pulmonary homograft stenosis after the Ross operation. Circulation. 2001;18:116–120
  22. Turrentine MW, Ruzmetov M, Vijay P, et al. Biological versus mechanical aortic valve replacement in children. Ann Thorac Surg. 2001;71:S356–S360
  23. Alexiou C, McDonald A, Langley SM, et al. Aortic valve replacement in children: are mechanical prostheses a good option?. Eur J Cardiothorac Surg. 2000;17:125–133
  24. Lupinetti FM, Duncan BW, Scifres AM, et al. Intermediate term results in pediatric aortic valve replacement. Ann Thorac Surg. 1999;68:521–525
  25. Laudito A, Brook MM, Suleman S, et al. The Ross procedure in children and young adults: a word of caution. J Thorac Cardiovasc Surg. 2001;122:147–153
  26. Reddy VM, McElhinney DB, Phoon CK, Brook MM, Hanley FL. Geometric mismatch of pulmonary and aortic anuli in children undergoing the Ross procedure: implications for surgical management and autograft function. J Thorac Cardiovasc Surg. 1998;115:1255–1262
  27. Klena JW, Shweiki E, Mahaffey HW, Woods EL, Benoit CH, Gilbert CL. Annuloplasty and aortoplasty as modifications of the Ross procedure for the correction of geometric mismatch. J Heart Valve Dis. 2000;9:195–199
  28. Hutter PA, Thomeer BJ, Jansen P, et al. Fate of the aortic root after arterial switch operation. Eur J Cardiothorac Surg. 2001;20:82–88
  29. Cohen MS, Marino BS, McElhinney DB, et al. Neo-aortic root dilation and valve regurgitation up to 21 years after staged reconstruction for hypoplastic left heart syndrome. J Am Coll Cardiol. 2003;42:533–540
  30. Puntel RA, Webber SA, Ettedgui JA, Tacy TA. Rapid enlargement of the neo-aortic root after the Ross procedure in children. Am J Cardiol. 1999;84:747–749

PII: S0022-5223(06)02292-6

doi: 10.1016/j.jtcvs.2006.12.006

The Journal of Thoracic and Cardiovascular Surgery
Volume 133, Issue 4 , Pages 893-899 , April 2007

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