A single center's experience with the ross procedure in pediatrics

Edward Kirkpatrick, Roger Hurwitz, John Brown

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

The use of a pulmonary autograft for aortic valve replacement (AVR) has become more prevalent than other forms of AVR in the pediatric population. We reviewed the data on pediatric patients who underwent the Ross procedure at our institution from 1993 to 2005. Sixty patients <18 years old who underwent a Ross procedure had available clinical and echocardiographic data collected and statistical analysis performed. Mortality rate was 3.3%, while overall survival and freedom from reoperation of either the homograft or the autograft were 96.7% and 66.2%, respectively, at 10 years. Freedom from reoperation of the left ventricular outflow tract was 60.5% at 10 years. Echocardiographic data showed aortic regurgitation to be mild or less in 76% of patients by last follow-up, while dilation of the sinuses of Valsalva had occurred in 52%. Compared to other AVR options, the Ross procedure in eligible pediatric patients demonstrates good intermediate survival rates and continued growth potential, yet a time-dependent need for reoperation.

Original languageEnglish (US)
Pages (from-to)894-900
Number of pages7
JournalPediatric Cardiology
Volume29
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Aortic root
  • Pediatric aortic valve replacement
  • Ross procedure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Pediatrics, Perinatology, and Child Health

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