Dilatation of the pulmonary autograft and native aorta after the Ross procedure: A comprehensive echocardiographic study Obaid Aljassim, MD, Gunnar Svensson,

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Presentation transcript:

Dilatation of the pulmonary autograft and native aorta after the Ross procedure: A comprehensive echocardiographic study Obaid Aljassim, MD, Gunnar Svensson, MD, PhD, Sossio Perrotta, MD, Anders Jeppsson, MD, PhD, Odd Bech-Hanssen, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 142, Issue 3, Pages 634-640.e1 (September 2011) DOI: 10.1016/j.jtcvs.2010.11.025 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Aortic dimensions in patients undergoing the Ross procedure at the final follow-up and in age-matched control subjects. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 634-640.e1DOI: (10.1016/j.jtcvs.2010.11.025) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Aortic dimensions in patients undergoing the Ross procedure investigated on 3 occasions (n = 29). The Journal of Thoracic and Cardiovascular Surgery 2011 142, 634-640.e1DOI: (10.1016/j.jtcvs.2010.11.025) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Parasternal long axis (left) of the aortic root in a control subject showing the annulus (A; 2.5 cm), sinus of Valsalva (SV; 3.1 cm), sinotubular junction (STJ; 2.7 cm), and proximal ascending aorta (PAA; 3.0 cm). To evaluate the middle and distal part of the ascending aorta, we investigated the patient in the right lateral position (middle). The long-axis projection through the aortic arch was obtained with the transducer in the suprasternal notch (right). DAA, Distal ascending aorta.The diameter (AA; 3.0 cm) was measured proximal to the left common carotid artery (∗). The proximal part of the descending aorta (PDA) was 2.1 cm. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 634-640.e1DOI: (10.1016/j.jtcvs.2010.11.025) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Parasternal long axis (left) of the autograft showing the annulus (A; 2.7 cm), sinus of Valsalva (SV; 4.0 cm), and proximal ascending aorta (PAA; 3.7 cm). Note that there is no distinct sinotubular junction as in the control subject shown in Figure E1. Either the transducer was moved 1 intercostal space in the cranial direction (middle), the patient was investigated in the right lateral position (right), or both to investigate the native aorta. With this approach, the middle part of the native ascending aorta (MAA) was 4.9 cm, and the distal ascending aorta (DAA) was 5.1 cm. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 634-640.e1DOI: (10.1016/j.jtcvs.2010.11.025) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions