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Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation

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Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation

Auteurs : Frank A. Pigula [États-Unis] ; Joseph Paolillo [États-Unis] ; Michael Mcgrath [États-Unis] ; Sanjiv K. Gandhi [États-Unis] ; John L. Myers [États-Unis] ; Beverly Rebovich [États-Unis] ; Ralph D. Siewers [États-Unis]

Source :

The Annals of Thoracic Surgery [ 0003-4975 ] ; 2001.

RBID : ISTEX:0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B

English descriptors

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:

https://api.istex.fr/document/0E166769ED7B63F6DA7C6DA4E009E2DB170A4C1B/fulltext/pdf

DOI: 10.1016/S0003-4975(01)03078-8

Affiliations:

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Le document en format XML

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<term>Annular reduction</term>
<term>Annulus</term>
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<term>Annulus body surface area ratio</term>
<term>Aortic</term>
<term>Aortic annular</term>
<term>Aortic annulus</term>
<term>Aortic valve replacement</term>
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<term>Autograft function</term>
<term>Congenital heart disease</term>
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<term>Pediatric patients</term>
<term>Pediatric ross operation</term>
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<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>
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Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation

Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation

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Abstract

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