The Ross Procedure in Adults: Long-Term Follow-Up and Echocardiographic Changes Leading to Pulmonary Autograft Reoperation Alessandro Frigiola, MD, Marco.

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Presentation transcript:

The Ross Procedure in Adults: Long-Term Follow-Up and Echocardiographic Changes Leading to Pulmonary Autograft Reoperation Alessandro Frigiola, MD, Marco Ranucci, MD, Concetta Carlucci, MD, Alessandro Giamberti, MD, Raul Abella, MD, Marisa Di Donato, MD The Annals of Thoracic Surgery Volume 86, Issue 2, Pages 482-489 (August 2008) DOI: 10.1016/j.athoracsur.2008.04.001 Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Kaplan-Meier curves for autograft reoperation (solid line), moderate or higher autograft valve regurgitation (dashed line), and autograft root diameter of 40 mm or more. The Annals of Thoracic Surgery 2008 86, 482-489DOI: (10.1016/j.athoracsur.2008.04.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Pulmonary autograft diameters over time for the sinotubular junction (top line), autograft root (middle line), and autograft valve annulus (bottom line) are presented with the standard error of the mean (error bars). The Annals of Thoracic Surgery 2008 86, 482-489DOI: (10.1016/j.athoracsur.2008.04.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Box and whisker plots show the left ventricular end-diastolic diameter over time in patients requiring reoperation (gray boxes) on the pulmonary autograft vs patients not requiring reoperation (white boxes). The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively. The whiskers mark the 90th and 10th percentiles. The Annals of Thoracic Surgery 2008 86, 482-489DOI: (10.1016/j.athoracsur.2008.04.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Box and whisker plots show the pulmonary autograft root diameter over time in patients requiring reoperation (gray boxes) on the pulmonary autograft vs patients not requiring reoperation (white boxes). The horizontal line in the middle of each box indicates the median; the top and bottom borders of the box mark the 75th and 25th percentiles, respectively. The whiskers mark the 90th and 10th percentiles. The Annals of Thoracic Surgery 2008 86, 482-489DOI: (10.1016/j.athoracsur.2008.04.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Mean pulmonary autograft valve regurgitation over time in patients requiring reoperation (black squares) on the pulmonary autograft vs patients not undergoing reoperation (white squares). Error bars designate the standard error of the mean. The Annals of Thoracic Surgery 2008 86, 482-489DOI: (10.1016/j.athoracsur.2008.04.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Echocardiographic pattern leading to early or late reoperation on the pulmonary autograft. (ADSV = autograft diameter at the level of the sinuses of Valsalva; AR = aortic regurgitation; EDLVD = end-diastolic left ventricular diameter.) The Annals of Thoracic Surgery 2008 86, 482-489DOI: (10.1016/j.athoracsur.2008.04.001) Copyright © 2008 The Society of Thoracic Surgeons Terms and Conditions