The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 536-542 , March 2010

The Ross–Yacoub procedure for aneurysmal autograft roots: A strategy to preserve autologous pulmonary valves

Read at the 2008 American Heart Association Meeting, New Orleans, La, November 9–12, 2008.

  • Giovanni Battista Luciani, MD

      Affiliations

    • Division of Cardiac Surgery, University of Verona, Verona, Italy
    • Corresponding Author InformationAddress for reprints: Giovanni Battista Luciani, MD, Division of Cardiac Surgery, University of Verona, O. C. M. Piazzale Stefani 1, Verona 37126, Italy.
    • ,
  • Francesca Viscardi, MD

      Affiliations

    • Division of Cardiac Surgery, University of Verona, Verona, Italy
    • ,
  • Mara Pilati, MD

      Affiliations

    • Division of Cardiology, University of Verona, Verona, Italy
    • ,
  • Antonia Maria Prioli, MD

      Affiliations

    • Division of Cardiology, University of Verona, Verona, Italy
    • ,
  • Giuseppe Faggian, MD

      Affiliations

    • Division of Cardiac Surgery, University of Verona, Verona, Italy
    • ,
  • Alessandro Mazzucco, MD

      Affiliations

    • Division of Cardiac Surgery, University of Verona, Verona, Italy

Received 7 February 2009 ,Revised 18 June 2009 ,Accepted 10 August 2009.

References 

  1. Klieverik LM, Takkenberg JJ, Bekkers JA, Roos-Hesselink JW, Witsenburg M, Bogers AJ. The Ross operation: a Trojan horse?. Eur Heart J. 2007;28:1993–2000
  2. Carr-White GS, Kilner PJ, Hon JK, Rutledge T, Edwards S, Burman ED, et al. Incidence, location, pathology, and significance of pulmonary homograft stenosis after the Ross operation. Circulation. 2001;104(suppl I):I16–I20
  3. David TE, Omran A, Ivanov J, Armstrong S, de Sa MP, Sonnenberg B, et al. Dilation of the pulmonary autograft after the Ross procedure. J Thorac Cardiovasc Surg. 2000;119:210–220
  4. Kouchoukos NT, Masetti P, Nickerson NJ, Castner CF, Shannon WD, Davila-Roman VG. The Ross procedure: long-term clinical and echocardiographic follow-up. Ann Thorac Surg. 2004;78:773–781
  5. Luciani GB, Casali G, Favaro A, Prioli MA, Barozzi L, Santini F, et al. Fate of the aortic root late after Ross operation. Circulation. 2003;108(suppl II):II61–II67
  6. Sievers HH, Hanke T, Stierle U, Bechtel MF, Graf B, Robinson DR, et al. A critical reappraisal of the Ross operation: renaissance of the subcoronary implantation technique?. Circulation. 2006;114(suppl I):I504–I511
  7. Hanke T, Stierle U, Boehm JO, Botha CA, Matthias Bechtel JF, Erasmi A, et al. Autograft regurgitation and aortic root dimensions after the Ross procedure: the German Ross Registry experience. Circulation. 2007;116(suppl):I251–I258
  8. Sundt TM, Moon MR, Xu H. Reoperation for dilatation of the pulmonary autograft after the Ross procedure. J Thorac Cardiovasc Surg. 2001;122:1249–1252
  9. Ley RG, Kofidis T, Fischer S, Kallenbach K, Harringer W, Haverich A. Aortic root reimplantation for successful repair of insufficient pulmonary autograft valve after the Ross procedure. J Thorac Cardiovasc Surg. 2002;124:1048–1049
  10. Schmidtke C, Stierle U, Sievers HH. Valve-sparing aortic root remodeling for pulmonary autograft aneurysm. J Heart Valve Dis. 2002;11:504–505
  11. Ishizaka T, Devaney EJ, Ramsburgh SR, Suzuki T, Ohye RG, Bove EL. Valve sparing aortic root replacement for dilatation of the pulmonary autograft and aortic regurgitation after the Ross procedure. Ann Thorac Surg. 2003;75:1518–1522
  12. Masetti P, Davila-Roman VA, Kouchoukos NT. Valve sparing procedure for the dilatation of the autologous pulmonary artery and ascending aorta after the Ross operation. Ann Thorac Surg. 2003;76:915–916
  13. Luciani GB, Favaro A, Viscardi F, Bertolini P, Mazzucco A. Valve-sparing root replacement for pulmonary autograft dissection late after the Ross operation. J Thorac Cardiovasc Surg. 2004;128:753–756
  14. Svensson LG, Kim K, Lytle BW, Cosgrove DM. Relationship of aortic cross-sectional area to height ratio and the risk of aortic dissection in patients with bicuspid aortic valves. J Thorac Cardiovasc Surg. 2003;126:892–893
  15. Nemoto S, Sudarshan C, Brizard CP. Successful aortic root remodeling for repair of a dilated pulmonary autograft after a Ross-Konno procedure in early childhood. Ann Thorac Surg. 2004;78:e45–e47
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  18. Watanabe N, Saito S, Saito H, Kurosawa H. Valve-sparing aortic root replacement with repair of leaflet prolapse after Ross operation. Interact Cardiovasc Thorac Surg. 2007;6:89–91
  19. Kaya A, Heijmen RH, Vreuls W, Seldenrijk CA, Schepens MA. Chronic type A dissection in a pulmonary autograft. J Heart Valve Dis. 2007;16:162–164
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  21. Frigiola A, Ranucci M, Carlucci C, Giamberti A, Abella R, Di Donato M. The Ross procedure in adults: long-term follow-up and echocardiographic changes leading to pulmonary autograft reoperation. Ann Thorac Surg. 2008;86:482–489
  22. Elkins RC, Thompson DM, Lane MM, Elkins CC, Peyton MD. Ross operation: 16-year experience. J Thorac Cardiovasc Surg. 2008;136:623–630
  23. de Kerchove L, Rubay J, Pasquet A, Poncelet A, Ovaert C, Pirotte M, et al. Ross operation in the adult: long-term outcomes after root replacement and inclusion techniques. Ann Thorac Surg. 2009;87:95–102
  24. Pasquali SK, Cohen MS, Shera D, Wernovsky G, Spray TL, Marino BS. The relationship between neo-aortic root dilation, insufficiency, and reintervention following the Ross procedure in infants, children, and young adults. J Am Coll Cardiol. 2007;49:1806–1812
  25. Lalezari S, Hazekamp MG, Bartelings MM, Schoof PH, Gittenberger-de Groot AC. Pulmonary artery remodelling in transposition of the great arteries: relevance for neoartic root dilatation. J Thorac Cardiovasc Surg. 2003;126:1053–1060
  26. Rabkin-Aikawa E, Aikawa M, Farber M, Kratz JR, Garcia-Cardena GG, Kouchoukos NT, et al. Clinical pulmonary autograft valves: pathologic evidence of adaptive remodelling in the aortic site. J Thorac Cardiovasc Surg. 2004;128:552–561
  27. Lichtenstein SV, Cheung A, Ye J, Thompson CR, Carere RG, Pasupati S, et al. Transapical transcatheter aortic valve implantation in humans: initial clinical experience. Circulation. 2006;114:591–596

 Disclosures: None.

PII: S0022-5223(09)01073-3

doi: 10.1016/j.jtcvs.2009.08.019

The Journal of Thoracic and Cardiovascular Surgery
Volume 139, Issue 3 , Pages 536-542 , March 2010

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