Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation
Identifieur interne : 000338 ( Istex/Corpus ); précédent : 000337; suivant : 000339Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation
Auteurs : Frank A. Pigula ; Joseph Paolillo ; Michael Mcgrath ; Sanjiv K. Gandhi ; John L. Myers ; Beverly Rebovich ; Ralph D. SiewersSource :
- The Annals of Thoracic Surgery [ 0003-4975 ] ; 2001.
English descriptors
- KwdEn :
- 20, Annular, Annular anastomosis, Annular enlargement, Annular reduction, Annulus, Annulus body surface area ratio, Aortic, Aortic annular, Aortic annulus, Aortic valve replacement, Autograft, Autograft function, Congenital heart disease, Elkins, Pediatric, Pediatric patients, Pediatric ross operation, Pigula, Pulmonary autograft, Purse string reduction, Ross operation, Ross procedure, Surg, Surgical, Thorac, Thorac cardiovasc surg, Thorac surg, Thoracic surgeons.
- Teeft :
- Annular, Annular anastomosis, Annular enlargement, Annular reduction, Annulus, Annulus body surface area ratio, Aortic, Aortic annular, Aortic annulus, Aortic valve replacement, Autograft, Autograft function, Congenital heart disease, Elkins, Pediatric, Pediatric patients, Pediatric ross operation, Pigula, Pulmonary autograft, Purse string reduction, Ross operation, Ross procedure, Surg, Surgical, Thorac, Thorac cardiovasc surg, Thorac surg, Thoracic surgeons.
Abstract
Abstract: Background. Modification of the aortic annulus or the ascending aorta, or both, may be required in pediatric patients undergoing the Ross operation. The fate of these autografts remains uncertain.Methods. Retrospective review of 15 patients undergoing Ross operation without aortic annular modification (group 1), 11 patients requiring annular reduction (group 2, n = 11), and 8 patients requiring annular enlargement (group 3, n = 8). Autograft function and dimensions were evaluated by echocardiography.Results. Autograft insufficiency was less than or equal to mild in 33 patients and moderate in 1 patient. The annulus body surface area ratio increased in group 1 from 19.7 ± 5 to 20.3 ± 5 mm/m2 (p = 0.8). The average annular reduction in group 2 was 5 ± 1.5 mm, and 10 of 11 patients required reduction of the ascending aorta (mean 11 ± 5 mm). The annulus body surface area ratio increased from 18.6 ± 7 to 20.5 ± 9 mm/m2 (p = 0.2). The mean augmentation in annulus diameter in group 3 was 6 ± 4 mm; the annulus body surface area ratio decreased from 23.7 ± 14 to 20.3 ± 8 mm/m2 (p = 0.5).Conclusions. We continue to offer the Ross operation to pediatric patients even when aortic annular or ascending aortic size discrepancies mandate surgical modifications.
Url:
DOI: 10.1016/S0003-4975(01)03078-8
Links to Exploration step
ISTEX:0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1BLe document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title><author><name sortKey="Pigula, Frank A" sort="Pigula, Frank A" uniqKey="Pigula F" first="Frank A" last="Pigula">Frank A. Pigula</name><affiliation><mods:affiliation>E-mail: pigulaf@heart.chp.edu</mods:affiliation></affiliation><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Paolillo, Joseph" sort="Paolillo, Joseph" uniqKey="Paolillo J" first="Joseph" last="Paolillo">Joseph Paolillo</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Mcgrath, Michael" sort="Mcgrath, Michael" uniqKey="Mcgrath M" first="Michael" last="Mcgrath">Michael Mcgrath</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Gandhi, Sanjiv K" sort="Gandhi, Sanjiv K" uniqKey="Gandhi S" first="Sanjiv K" last="Gandhi">Sanjiv K. Gandhi</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Myers, John L" sort="Myers, John L" uniqKey="Myers J" first="John L" last="Myers">John L. Myers</name><affiliation><mods:affiliation>Penn State Children’s Hospital, Hershey, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Rebovich, Beverly" sort="Rebovich, Beverly" uniqKey="Rebovich B" first="Beverly" last="Rebovich">Beverly Rebovich</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Siewers, Ralph D" sort="Siewers, Ralph D" uniqKey="Siewers R" first="Ralph D" last="Siewers">Ralph D. Siewers</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B</idno><date when="2001" year="2001">2001</date><idno type="doi">10.1016/S0003-4975(01)03078-8</idno><idno type="url">https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">000338</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">000338</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title><author><name sortKey="Pigula, Frank A" sort="Pigula, Frank A" uniqKey="Pigula F" first="Frank A" last="Pigula">Frank A. Pigula</name><affiliation><mods:affiliation>E-mail: pigulaf@heart.chp.edu</mods:affiliation></affiliation><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Paolillo, Joseph" sort="Paolillo, Joseph" uniqKey="Paolillo J" first="Joseph" last="Paolillo">Joseph Paolillo</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Mcgrath, Michael" sort="Mcgrath, Michael" uniqKey="Mcgrath M" first="Michael" last="Mcgrath">Michael Mcgrath</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Gandhi, Sanjiv K" sort="Gandhi, Sanjiv K" uniqKey="Gandhi S" first="Sanjiv K" last="Gandhi">Sanjiv K. Gandhi</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Myers, John L" sort="Myers, John L" uniqKey="Myers J" first="John L" last="Myers">John L. Myers</name><affiliation><mods:affiliation>Penn State Children’s Hospital, Hershey, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Rebovich, Beverly" sort="Rebovich, Beverly" uniqKey="Rebovich B" first="Beverly" last="Rebovich">Beverly Rebovich</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author><author><name sortKey="Siewers, Ralph D" sort="Siewers, Ralph D" uniqKey="Siewers R" first="Ralph D" last="Siewers">Ralph D. Siewers</name><affiliation><mods:affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Annals of Thoracic Surgery</title><title level="j" type="abbrev">ATS</title><idno type="ISSN">0003-4975</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2001">2001</date><biblScope unit="volume">72</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1610">1610</biblScope><biblScope unit="page" to="1614">1614</biblScope></imprint><idno type="ISSN">0003-4975</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0003-4975</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>20</term><term>Annular</term><term>Annular anastomosis</term><term>Annular enlargement</term><term>Annular reduction</term><term>Annulus</term><term>Annulus body surface area ratio</term><term>Aortic</term><term>Aortic annular</term><term>Aortic annulus</term><term>Aortic valve replacement</term><term>Autograft</term><term>Autograft function</term><term>Congenital heart disease</term><term>Elkins</term><term>Pediatric</term><term>Pediatric patients</term><term>Pediatric ross operation</term><term>Pigula</term><term>Pulmonary autograft</term><term>Purse string reduction</term><term>Ross operation</term><term>Ross procedure</term><term>Surg</term><term>Surgical</term><term>Thorac</term><term>Thorac cardiovasc surg</term><term>Thorac surg</term><term>Thoracic surgeons</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Annular</term><term>Annular anastomosis</term><term>Annular enlargement</term><term>Annular reduction</term><term>Annulus</term><term>Annulus body surface area ratio</term><term>Aortic</term><term>Aortic annular</term><term>Aortic annulus</term><term>Aortic valve replacement</term><term>Autograft</term><term>Autograft function</term><term>Congenital heart disease</term><term>Elkins</term><term>Pediatric</term><term>Pediatric patients</term><term>Pediatric ross operation</term><term>Pigula</term><term>Pulmonary autograft</term><term>Purse string reduction</term><term>Ross operation</term><term>Ross procedure</term><term>Surg</term><term>Surgical</term><term>Thorac</term><term>Thorac cardiovasc surg</term><term>Thorac surg</term><term>Thoracic surgeons</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: Background. Modification of the aortic annulus or the ascending aorta, or both, may be required in pediatric patients undergoing the Ross operation. The fate of these autografts remains uncertain.Methods. Retrospective review of 15 patients undergoing Ross operation without aortic annular modification (group 1), 11 patients requiring annular reduction (group 2, n = 11), and 8 patients requiring annular enlargement (group 3, n = 8). Autograft function and dimensions were evaluated by echocardiography.Results. Autograft insufficiency was less than or equal to mild in 33 patients and moderate in 1 patient. The annulus body surface area ratio increased in group 1 from 19.7 ± 5 to 20.3 ± 5 mm/m2 (p = 0.8). The average annular reduction in group 2 was 5 ± 1.5 mm, and 10 of 11 patients required reduction of the ascending aorta (mean 11 ± 5 mm). The annulus body surface area ratio increased from 18.6 ± 7 to 20.5 ± 9 mm/m2 (p = 0.2). The mean augmentation in annulus diameter in group 3 was 6 ± 4 mm; the annulus body surface area ratio decreased from 23.7 ± 14 to 20.3 ± 8 mm/m2 (p = 0.5).Conclusions. We continue to offer the Ross operation to pediatric patients even when aortic annular or ascending aortic size discrepancies mandate surgical modifications.</div></front></TEI><istex><corpusName>elsevier</corpusName><keywords><teeft><json:string>autograft</json:string><json:string>aortic</json:string><json:string>annulus</json:string><json:string>annular</json:string><json:string>ross operation</json:string><json:string>surg</json:string><json:string>pediatric</json:string><json:string>thorac</json:string><json:string>aortic annulus</json:string><json:string>thorac surg</json:string><json:string>pigula</json:string><json:string>annular reduction</json:string><json:string>elkins</json:string><json:string>pediatric patients</json:string><json:string>pediatric ross operation</json:string><json:string>ross procedure</json:string><json:string>thoracic surgeons</json:string><json:string>surgical</json:string><json:string>annular anastomosis</json:string><json:string>aortic valve replacement</json:string><json:string>congenital heart disease</json:string><json:string>autograft function</json:string><json:string>annular enlargement</json:string><json:string>purse string reduction</json:string><json:string>pulmonary autograft</json:string><json:string>aortic annular</json:string><json:string>thorac cardiovasc surg</json:string><json:string>annulus body surface area ratio</json:string></teeft></keywords><author><json:item><name>Frank A Pigula MD</name><affiliations><json:string>E-mail: pigulaf@heart.chp.edu</json:string><json:string>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</json:string></affiliations></json:item><json:item><name>Joseph Paolillo MD</name><affiliations><json:string>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</json:string></affiliations></json:item><json:item><name>Michael McGrath MD</name><affiliations><json:string>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</json:string></affiliations></json:item><json:item><name>Sanjiv K Gandhi MD</name><affiliations><json:string>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</json:string></affiliations></json:item><json:item><name>John L Myers MD</name><affiliations><json:string>Penn State Children’s Hospital, Hershey, Pennsylvania, USA</json:string></affiliations></json:item><json:item><name>Beverly Rebovich</name><affiliations><json:string>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</json:string></affiliations></json:item><json:item><name>Ralph D Siewers MD</name><affiliations><json:string>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Original article: cardiovascular</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>20</value></json:item></subject><articleId><json:string>11742</json:string></articleId><arkIstex>ark:/67375/6H6-LCQR99TC-T</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Abstract: Background. Modification of the aortic annulus or the ascending aorta, or both, may be required in pediatric patients undergoing the Ross operation. The fate of these autografts remains uncertain.Methods. Retrospective review of 15 patients undergoing Ross operation without aortic annular modification (group 1), 11 patients requiring annular reduction (group 2, n = 11), and 8 patients requiring annular enlargement (group 3, n = 8). Autograft function and dimensions were evaluated by echocardiography.Results. Autograft insufficiency was less than or equal to mild in 33 patients and moderate in 1 patient. The annulus body surface area ratio increased in group 1 from 19.7 ± 5 to 20.3 ± 5 mm/m2 (p = 0.8). The average annular reduction in group 2 was 5 ± 1.5 mm, and 10 of 11 patients required reduction of the ascending aorta (mean 11 ± 5 mm). The annulus body surface area ratio increased from 18.6 ± 7 to 20.5 ± 9 mm/m2 (p = 0.2). The mean augmentation in annulus diameter in group 3 was 6 ± 4 mm; the annulus body surface area ratio decreased from 23.7 ± 14 to 20.3 ± 8 mm/m2 (p = 0.5).Conclusions. We continue to offer the Ross operation to pediatric patients even when aortic annular or ascending aortic size discrepancies mandate surgical modifications.</abstract><qualityIndicators><score>7.432</score><pdfWordCount>2864</pdfWordCount><pdfCharCount>17440</pdfCharCount><pdfVersion>1.2</pdfVersion><pdfPageCount>5</pdfPageCount><pdfPageSize>596 x 795 pts</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>214</abstractWordCount><abstractCharCount>1275</abstractCharCount><keywordCount>2</keywordCount></qualityIndicators><title>Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title><pmid><json:string>11722053</json:string></pmid><pii><json:string>S0003-4975(01)03078-8</json:string></pii><genre><json:string>research-article</json:string></genre><host><title>The Annals of Thoracic Surgery</title><language><json:string>unknown</json:string></language><publicationDate>2001</publicationDate><issn><json:string>0003-4975</json:string></issn><pii><json:string>S0003-4975(00)X0097-5</json:string></pii><volume>72</volume><issue>5</issue><pages><first>1610</first><last>1614</last></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>2001</json:string></date><geogName></geogName><orgName><json:string>Elsevier Science Inc</json:string><json:string>Ethicon Inc</json:string><json:string>Children’s Hospital of Pittsburgh, Pittsburgh, PA</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Frank A. Pigula</json:string><json:string>Beverly Rebovich</json:string><json:string>Ralph D. Siewers</json:string><json:string>Ann Thorac</json:string><json:string>Elkins</json:string><json:string>Durham</json:string><json:string>John L. Myers</json:string><json:string>Michael McGrath</json:string><json:string>Reddy</json:string><json:string>K. Gandhi</json:string><json:string>Pigula</json:string><json:string>Retrospective</json:string><json:string>Joseph Paolillo</json:string></persName><placeName><json:string>LA</json:string><json:string>Oakland</json:string><json:string>Somerville</json:string><json:string>York</json:string><json:string>NJ</json:string></placeName><ref_url></ref_url><ref_bibl><json:string>[3, 9, 10]</json:string><json:string>[11]</json:string><json:string>[8]</json:string><json:string>[1]</json:string><json:string>[3]</json:string><json:string>[6, 7]</json:string><json:string>[7]</json:string><json:string>[2]</json:string></ref_bibl><bibl></bibl></unitex></namedEntities><ark><json:string>ark:/67375/6H6-LCQR99TC-T</json:string></ark><categories><wos><json:string>1 - science</json:string><json:string>2 - surgery</json:string><json:string>2 - respiratory system</json:string><json:string>2 - cardiac & cardiovascular systems</json:string></wos><scienceMetrix><json:string>1 - health sciences</json:string><json:string>2 - clinical medicine</json:string><json:string>3 - respiratory system</json:string></scienceMetrix><scopus><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Cardiology and Cardiovascular Medicine</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Pulmonary and Respiratory Medicine</json:string><json:string>1 - Health Sciences</json:string><json:string>2 - Medicine</json:string><json:string>3 - Surgery</json:string></scopus><inist><json:string>1 - sciences appliquees, technologies et medecines</json:string><json:string>2 - sciences biologiques et medicales</json:string><json:string>3 - sciences medicales</json:string></inist></categories><publicationDate>2001</publicationDate><copyrightDate>2001</copyrightDate><doi><json:string>10.1016/S0003-4975(01)03078-8</json:string></doi><id>0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B</id><score>1</score><fulltext><json:item><extension>pdf</extension><original>true</original><mimetype>application/pdf</mimetype><uri>https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/fulltext/pdf</uri></json:item><json:item><extension>zip</extension><original>false</original><mimetype>application/zip</mimetype><uri>https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a" type="main" xml:lang="en">Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>©2001 The Society of Thoracic Surgeons</p></availability><date>2001</date></publicationStmt><notesStmt><note type="content">Section title: Original article: cardiovascular</note><note type="content">Fig 1: Annular reduction was accomplished in 8 patients with plication of the annulus with pledget, nonabsorbable sutures.</note><note type="content">Fig 2: Two patients with large aortopulmonary size discrepancies (≥ 6 mm diameter) were treated with purse string reduction of the aortic annulus, sized over a Heger dilator.</note><note type="content">Fig 3: One patient underwent excision of the posterior aortic annulus into the anterior leaflet of the mitral valve with reapproximation.</note><note type="content">Fig 4: Raw annular measurements obtained by serial echocardiography. Linear regression analysis shows little difference in the rate of annular enlargement, represented by the solid line, over time between the three groups (p > 0.05).</note><note type="content">Table 1: Mean Follow-up (Months) and Annulus/Body Surface Area Ratio at the Time of Insertion and Again at Follow-upa,b</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title><author xml:id="author-0000"><persName><forename type="first">Frank A</forename><surname>Pigula</surname></persName><roleName type="degree">MD</roleName><email>pigulaf@heart.chp.edu</email><note type="biography">Address reprint requests to Dr Pigula, Pediatric Cardiothoracic Surgery, Room 2820, 2 Main, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA</note><affiliation>Address reprint requests to Dr Pigula, Pediatric Cardiothoracic Surgery, Room 2820, 2 Main, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA</affiliation><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation></author><author xml:id="author-0001"><persName><forename type="first">Joseph</forename><surname>Paolillo</surname></persName><roleName type="degree">MD</roleName><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation></author><author xml:id="author-0002"><persName><forename type="first">Michael</forename><surname>McGrath</surname></persName><roleName type="degree">MD</roleName><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation></author><author xml:id="author-0003"><persName><forename type="first">Sanjiv K</forename><surname>Gandhi</surname></persName><roleName type="degree">MD</roleName><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation></author><author xml:id="author-0004"><persName><forename type="first">John L</forename><surname>Myers</surname></persName><roleName type="degree">MD</roleName><affiliation>Penn State Children’s Hospital, Hershey, Pennsylvania, USA</affiliation></author><author xml:id="author-0005"><persName><forename type="first">Beverly</forename><surname>Rebovich</surname></persName><note type="biography">PA</note><affiliation>PA</affiliation><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation></author><author xml:id="author-0006"><persName><forename type="first">Ralph D</forename><surname>Siewers</surname></persName><roleName type="degree">MD</roleName><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation></author><idno type="istex">0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B</idno><idno type="DOI">10.1016/S0003-4975(01)03078-8</idno><idno type="PII">S0003-4975(01)03078-8</idno><idno type="ArticleID">11742</idno></analytic><monogr><title level="j">The Annals of Thoracic Surgery</title><title level="j" type="abbrev">ATS</title><idno type="pISSN">0003-4975</idno><idno type="PII">S0003-4975(00)X0097-5</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="2001"></date><biblScope unit="volume">72</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="1610">1610</biblScope><biblScope unit="page" to="1614">1614</biblScope></imprint></monogr></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2001</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background. Modification of the aortic annulus or the ascending aorta, or both, may be required in pediatric patients undergoing the Ross operation. The fate of these autografts remains uncertain.Methods. Retrospective review of 15 patients undergoing Ross operation without aortic annular modification (group 1), 11 patients requiring annular reduction (group 2, n = 11), and 8 patients requiring annular enlargement (group 3, n = 8). Autograft function and dimensions were evaluated by echocardiography.Results. Autograft insufficiency was less than or equal to mild in 33 patients and moderate in 1 patient. The annulus body surface area ratio increased in group 1 from 19.7 ± 5 to 20.3 ± 5 mm/m2 (p = 0.8). The average annular reduction in group 2 was 5 ± 1.5 mm, and 10 of 11 patients required reduction of the ascending aorta (mean 11 ± 5 mm). The annulus body surface area ratio increased from 18.6 ± 7 to 20.5 ± 9 mm/m2 (p = 0.2). The mean augmentation in annulus diameter in group 3 was 6 ± 4 mm; the annulus body surface area ratio decreased from 23.7 ± 14 to 20.3 ± 8 mm/m2 (p = 0.5).Conclusions. We continue to offer the Ross operation to pediatric patients even when aortic annular or ascending aortic size discrepancies mandate surgical modifications.</p></abstract><textClass><keywords scheme="keyword"><list><head>article-category</head><item><term>Original article: cardiovascular</term></item></list></keywords></textClass><textClass xml:lang="en"><keywords scheme="keyword"><list><head>Keywords</head><item><term>20</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2001">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: ce:floats; body; tail"><istex:xmlDeclaration>version="1.0" encoding="UTF-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"><istex:entity SYSTEM="gr1" NDATA="IMAGE" name="GR1"></istex:entity><istex:entity SYSTEM="gr2" NDATA="IMAGE" name="GR2"></istex:entity><istex:entity SYSTEM="gr3" NDATA="IMAGE" name="GR3"></istex:entity><istex:entity SYSTEM="gr4" NDATA="IMAGE" name="GR4"></istex:entity></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla" xml:lang="en"><item-info><jid>ATS</jid><aid>11742</aid><ce:pii>S0003-4975(01)03078-8</ce:pii><ce:doi>10.1016/S0003-4975(01)03078-8</ce:doi><ce:copyright type="society" year="2001">The Society of Thoracic Surgeons</ce:copyright><ce:doctopics><ce:doctopic><ce:text>Original article: cardiovascular</ce:text></ce:doctopic></ce:doctopics></item-info><head><ce:dochead><ce:textfn>Original article: cardiovascular</ce:textfn></ce:dochead><ce:title>Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</ce:title><ce:presented>Presented at the Thirty-seventh annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 29–31, 2001.</ce:presented><ce:author-group><ce:author><ce:given-name>Frank A</ce:given-name><ce:surname>Pigula</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="COR1"><ce:sup loc="post">*</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref><ce:e-address type="email">pigulaf@heart.chp.edu</ce:e-address></ce:author><ce:author><ce:given-name>Joseph</ce:given-name><ce:surname>Paolillo</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Michael</ce:given-name><ce:surname>McGrath</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Sanjiv K</ce:given-name><ce:surname>Gandhi</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>John L</ce:given-name><ce:surname>Myers</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF2"><ce:sup loc="post">b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Beverly</ce:given-name><ce:surname>Rebovich</ce:surname><ce:roles>PA</ce:roles><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Ralph D</ce:given-name><ce:surname>Siewers</ce:surname><ce:degrees>MD</ce:degrees><ce:cross-ref refid="AFF1"><ce:sup loc="post">a</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>Penn State Children’s Hospital, Hershey, Pennsylvania, USA</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>*</ce:label><ce:text>Address reprint requests to Dr Pigula, Pediatric Cardiothoracic Surgery, Room 2820, 2 Main, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA</ce:text></ce:correspondence></ce:author-group><ce:abstract class="author"><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para view="all" id="simple-para.0040"><ce:italic>Background</ce:italic>. Modification of the aortic annulus or the ascending aorta, or both, may be required in pediatric patients undergoing the Ross operation. The fate of these autografts remains uncertain.</ce:simple-para><ce:simple-para view="all" id="simple-para.0045"><ce:italic>Methods</ce:italic>. Retrospective review of 15 patients undergoing Ross operation without aortic annular modification (group 1), 11 patients requiring annular reduction (group 2, n = 11), and 8 patients requiring annular enlargement (group 3, n = 8). Autograft function and dimensions were evaluated by echocardiography.</ce:simple-para><ce:simple-para view="all" id="simple-para.0050"><ce:italic>Results</ce:italic>. Autograft insufficiency was less than or equal to mild in 33 patients and moderate in 1 patient. The annulus body surface area ratio increased in group 1 from 19.7 ± 5 to 20.3 ± 5 mm/m<ce:sup loc="post">2</ce:sup> (<ce:italic>p</ce:italic> = 0.8). The average annular reduction in group 2 was 5 ± 1.5 mm, and 10 of 11 patients required reduction of the ascending aorta (mean 11 ± 5 mm). The annulus body surface area ratio increased from 18.6 ± 7 to 20.5 ± 9 mm/m<ce:sup loc="post">2</ce:sup> (<ce:italic>p</ce:italic> = 0.2). The mean augmentation in annulus diameter in group 3 was 6 ± 4 mm; the annulus body surface area ratio decreased from 23.7 ± 14 to 20.3 ± 8 mm/m<ce:sup loc="post">2</ce:sup> (<ce:italic>p</ce:italic> = 0.5).</ce:simple-para><ce:simple-para view="all" id="simple-para.0055"><ce:italic>Conclusions</ce:italic>. We continue to offer the Ross operation to pediatric patients even when aortic annular or ascending aortic size discrepancies mandate surgical modifications.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords class="keyword"><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>20</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation</title></titleInfo><name type="personal"><namePart type="given">Frank A</namePart><namePart type="family">Pigula</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>E-mail: pigulaf@heart.chp.edu</affiliation><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation><description>Address reprint requests to Dr Pigula, Pediatric Cardiothoracic Surgery, Room 2820, 2 Main, Children’s Hospital of Pittsburgh, Pittsburgh, PA 15213, USA</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Joseph</namePart><namePart type="family">Paolillo</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Michael</namePart><namePart type="family">McGrath</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Sanjiv K</namePart><namePart type="family">Gandhi</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">John L</namePart><namePart type="family">Myers</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Penn State Children’s Hospital, Hershey, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Beverly</namePart><namePart type="family">Rebovich</namePart><description>PA</description><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ralph D</namePart><namePart type="family">Siewers</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Children’s Hospital of Pittsburgh, University of Pittsburgh, Pittsburgh, Pennsylvania, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">2001</dateIssued><copyrightDate encoding="w3cdtf">2001</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Abstract: Background. Modification of the aortic annulus or the ascending aorta, or both, may be required in pediatric patients undergoing the Ross operation. The fate of these autografts remains uncertain.Methods. Retrospective review of 15 patients undergoing Ross operation without aortic annular modification (group 1), 11 patients requiring annular reduction (group 2, n = 11), and 8 patients requiring annular enlargement (group 3, n = 8). Autograft function and dimensions were evaluated by echocardiography.Results. Autograft insufficiency was less than or equal to mild in 33 patients and moderate in 1 patient. The annulus body surface area ratio increased in group 1 from 19.7 ± 5 to 20.3 ± 5 mm/m2 (p = 0.8). The average annular reduction in group 2 was 5 ± 1.5 mm, and 10 of 11 patients required reduction of the ascending aorta (mean 11 ± 5 mm). The annulus body surface area ratio increased from 18.6 ± 7 to 20.5 ± 9 mm/m2 (p = 0.2). The mean augmentation in annulus diameter in group 3 was 6 ± 4 mm; the annulus body surface area ratio decreased from 23.7 ± 14 to 20.3 ± 8 mm/m2 (p = 0.5).Conclusions. We continue to offer the Ross operation to pediatric patients even when aortic annular or ascending aortic size discrepancies mandate surgical modifications.</abstract><note type="content">Section title: Original article: cardiovascular</note><note type="content">Fig 1: Annular reduction was accomplished in 8 patients with plication of the annulus with pledget, nonabsorbable sutures.</note><note type="content">Fig 2: Two patients with large aortopulmonary size discrepancies (≥ 6 mm diameter) were treated with purse string reduction of the aortic annulus, sized over a Heger dilator.</note><note type="content">Fig 3: One patient underwent excision of the posterior aortic annulus into the anterior leaflet of the mitral valve with reapproximation.</note><note type="content">Fig 4: Raw annular measurements obtained by serial echocardiography. Linear regression analysis shows little difference in the rate of annular enlargement, represented by the solid line, over time between the three groups (p > 0.05).</note><note type="content">Table 1: Mean Follow-up (Months) and Annulus/Body Surface Area Ratio at the Time of Insertion and Again at Follow-upa,b</note><subject><genre>article-category</genre><topic>Original article: cardiovascular</topic></subject><subject lang="en"><genre>Keywords</genre><topic>20</topic></subject><relatedItem type="host"><titleInfo><title>The Annals of Thoracic Surgery</title></titleInfo><titleInfo type="abbreviated"><title>ATS</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">200111</dateIssued></originInfo><identifier type="ISSN">0003-4975</identifier><identifier type="PII">S0003-4975(00)X0097-5</identifier><part><date>200111</date><detail type="volume"><number>72</number><caption>vol.</caption></detail><detail type="issue"><number>5</number><caption>no.</caption></detail><extent unit="issue-pages"><start>A1</start><end>A42</end></extent><extent unit="issue-pages"><start>A43</start><end>A52</end></extent><extent unit="issue-pages"><start>S1803</start><end>S1844</end></extent><extent unit="issue-pages"><start>1449</start><end>1802</end></extent><extent unit="pages"><start>1610</start><end>1614</end></extent></part></relatedItem><identifier type="istex">0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B</identifier><identifier type="ark">ark:/67375/6H6-LCQR99TC-T</identifier><identifier type="DOI">10.1016/S0003-4975(01)03078-8</identifier><identifier type="PII">S0003-4975(01)03078-8</identifier><identifier type="ArticleID">11742</identifier><accessCondition type="use and reproduction" contentType="copyright">©2001 The Society of Thoracic Surgeons</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>The Society of Thoracic Surgeons, ©2001</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Amérique/explor/PittsburghV1/Data/Istex/Corpus
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000338 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Istex/Corpus/biblio.hfd -nk 000338 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Amérique
|area= PittsburghV1
|flux= Istex
|étape= Corpus
|type= RBID
|clé= ISTEX:0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B
|texte= Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation
}}
| This area was generated with Dilib version V0.6.38. |  |