Outcome of 40 consecutive cases of modified Ross procedure using novel Dacron valved conduit.
Dacron valved conduit
Modified Ross procedure
RVOT reconstruction
Journal
Indian journal of thoracic and cardiovascular surgery
ISSN: 0973-7723
Titre abrégé: Indian J Thorac Cardiovasc Surg
Pays: India
ID NLM: 8700105
Informations de publication
Date de publication:
Jan 2020
Jan 2020
Historique:
received:
01
02
2019
revised:
31
05
2019
accepted:
02
06
2019
entrez:
16
10
2020
pubmed:
17
10
2020
medline:
17
10
2020
Statut:
ppublish
Résumé
The Ross procedure is an established option for aortic valve disease in children. Due to limited availability of pulmonary homograft, we devised a novel technique for right ventricular outflow tract (RVOT) reconstruction by preparing indigenous Dacron valved conduit. Forty consecutive cases of modified Ross procedure done at our center (2013-2018) were analyzed. Thirty-seven patients (95%) were followed up with median duration of 2.5 (0.08-5.5) years. Median age was 12 (5-39) years. Nineteen (47.5%) patients had rheumatic aortic valve disease, while 19 (47.5%) had congenital aortic valve disease. Aortic root replacement with pulmonary autograft was performed in all patients. Dacron conduit for RVOT reconstruction was used with on table sewn bileaflet valve using Dacron patch ( There was one in-hospital mortality while one late death occurred at 3.5 years postoperatively. The neo-aortic valve regurgitation on echocardiographic evaluation at last follow-up was trivial ( Our early results of modified Ross procedure are encouraging, however, long-term follow-up is required.
Identifiants
pubmed: 33061091
doi: 10.1007/s12055-019-00845-8
pii: 845
pmc: PMC7525602
doi:
Types de publication
Journal Article
Langues
eng
Pagination
28-36Informations de copyright
© Indian Association of Cardiovascular-Thoracic Surgeons 2019.
Déclaration de conflit d'intérêts
Conflict of interestAll authors declare that they have no conflict of interests.
Références
J Thorac Cardiovasc Surg. 2019 Jan;157(1):201-208
pubmed: 30104067
Eur J Cardiothorac Surg. 2004 Dec;26(6):1087-91
pubmed: 15541967
Heart. 2014 Dec;100(24):1954-9
pubmed: 25056868
Eur J Cardiothorac Surg. 2018 Sep 1;54(3):427-433
pubmed: 29659782
Ann Thorac Surg. 2015 Apr;99(4):1255-9
pubmed: 25662438
J Thorac Cardiovasc Surg. 2002 Jul;124(1):194-5
pubmed: 12091832
J Cardiovasc Med (Hagerstown). 2008 Apr;9(4):327-37
pubmed: 18334887
J Card Surg. 1998 May;13(3):186-9
pubmed: 10193988
Ann Thorac Surg. 2010 Jan;89(1):152-7; discussion 157-8
pubmed: 20103226
Ann Thorac Surg. 2007 Sep;84(3):729-36
pubmed: 17720368
Circulation. 2016 Aug 23;134(8):576-85
pubmed: 27496856
Thorac Cardiovasc Surg. 2017 Dec;65(8):656-661
pubmed: 27508999
Asian Cardiovasc Thorac Ann. 2018 Jul;26(6):451-460
pubmed: 29860893
J Am Coll Cardiol. 2010 Jun 1;55(22):2413-26
pubmed: 20510209
Lancet. 1967 Nov 4;2(7523):956-8
pubmed: 4167516
Gen Thorac Cardiovasc Surg. 2015 Mar;63(3):131-41
pubmed: 25503561
J Thorac Cardiovasc Surg. 1977 Sep;74(3):382-95
pubmed: 895172
Circulation. 1985 Sep;72(3 Pt 2):II84-7
pubmed: 4028369
Ann Thorac Surg. 1995 Apr;59(4):1007-10
pubmed: 7695374
Eur J Cardiothorac Surg. 2008 Apr;33(4):523-8
pubmed: 18313319
Asian Cardiovasc Thorac Ann. 2005 Dec;13(4):321-4
pubmed: 16304218
Circulation. 2010 Sep 21;122(12):1153-8
pubmed: 20823390
Ann Thorac Surg. 1981 May;31(5):437-43
pubmed: 7194621
J Am Coll Cardiol. 2018 Mar 27;71(12):1337-1344
pubmed: 29566818
Eur J Cardiothorac Surg. 2016 Feb;49(2):507-12; discussion 512-3
pubmed: 25736279
Heart Lung Vessel. 2015;7(4):304-10
pubmed: 26811836
Ann Thorac Surg. 2003 Feb;75(2):399-410; discussion 410-1
pubmed: 12607647
J Thorac Cardiovasc Surg. 2009 Apr;137(4):881-6, 886e1-5
pubmed: 19327512
Ann Thorac Surg. 2002 Jun;73(6):1988-9
pubmed: 12078818
Circulation. 1989 Nov;80(5 Pt 2):III209-13
pubmed: 2805303
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2004;7:115-24
pubmed: 15283361
Eur J Cardiothorac Surg. 2016 Jan;49(1):212-8
pubmed: 25666469
Ann Thorac Surg. 2017 Mar;103(3):869-874
pubmed: 27788940