Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation
Identifieur interne : 00B274 ( Main/Exploration ); précédent : 00B273; suivant : 00B275Aortopulmonary 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.
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
Affiliations:
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<term>Annulus</term>
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<term>Aortic annular</term>
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<term>Annular anastomosis</term>
<term>Annular enlargement</term>
<term>Annular reduction</term>
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<term>Annulus body surface area ratio</term>
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<term>Aortic annular</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>
</front>
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