Factors impacting long-term pulmonary autograft durability after the Ross procedure Ravil Sharifulin, MD, Alexander Bogachev-Prokophiev, MD, Sergey Zheleznev,

Slides:

Advertisements

Similar presentations

Transcatheter aortic valve replacement in patients with severe aortic stenosis who are at high risk for surgical complications: Summary assessment of.

Advertisements

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Of mice and men and surgical transcatheter aortic valve insertion

Factors associated with postoperative atrial fibrillation and other adverse events after cardiac surgery Emmanuel Akintoye, MD, MPH, Frank Sellke, MD,

Scott Goldman, MD, Anson Cheung, MD, Joseph E. Bavaria, MD, Michael R

Sergey Leontyev, MD, Michael A

Expanding options to manage traumatic thoracic vascular injuries

In which patients is transcatheter aortic valve replacement potentially better indicated than surgery for redo aortic valve disease? Long-term results.

Outcome of 200 patients after an extracardiac Fontan procedure

Ross operation: 16-year experience

Long-term prognosis of ascending aortic aneurysm after aortic valve replacement for bicuspid versus tricuspid aortic valve stenosis Evaldas Girdauskas,

Prospective randomized comparison of CarboMedics and St

Replacement of the ascending aorta in bicuspid aortic valve disease: Where do we draw the line? Thoralf M. Sundt, MD The Journal of Thoracic and Cardiovascular.

When is the Ross operation a good option to treat aortic valve disease? Tirone E. David, MD, Anna Woo, MD, Susan Armstrong, MSc, Manjula Maganti, MSc

Off-pump hepatic to azygos connection via thoracotomy for relief of fistulas after a Kawashima procedure: Ten-year results Sara C. Arrigoni, MD, Freek.

Incidence and outcomes of right-sided endocarditis in patients with congenital heart disease after surgical or transcatheter pulmonary valve implantation

Mild-to-moderate functional tricuspid regurgitation in patients undergoing mitral valve surgery Sun Kyun Ro, MD, Joon Bum Kim, MD, Sung Ho Jung, MD,

Long-term follow-up after aortic valve replacement with Edwards Prima Plus stentless bioprostheses in patients younger than 60 years of age Torsten Christ,

Aortic root remodeling leads to good valve stability in acute aortic dissection and preexistent root dilatation Takashi Kunihara, MD, PhD, Niklas Neumann,

Eight-year results after aortic valve replacement with the CryoLife-O’Brien Stentless Aortic Porcine Bioprosthesis Ivo Martinovic, MD, Ibrahim Farah,

Form ever follows function

Bicuspid aortic valve aortopathy: One size fits all?

Biventricular root replacement for transcatheter pulmonary valve endocarditis after Ross operation: Double the trouble T.K. Susheel Kumar, MD, Kaitlin.

Long-term results of aortic valve–sparing operations in patients with Marfan syndrome Tirone E. David, MD, Sue Armstrong, BSc, Manjula Maganti, BSc, Jack.

Risk-corrected impact of mechanical versus bioprosthetic valves on long-term mortality after aortic valve replacement Ole Lund, MD, PhD, Martin Bland,

Tricuspid regurgitation as a result of Chiari network attachment

Outcome after surgery for prosthetic valve endocarditis and the impact of preoperative treatment Herko Grubitzsch, MD, PhD, Andreas Schaefer, Christoph.

Contemporary outcomes of surgery for aortic root aneurysms: A propensity-matched comparison of valve-sparing and composite valve graft replacement Mario.

Does the degree of preoperative mitral regurgitation predict survival or the need for mitral valve repair or replacement in patients with anomalous origin.

Nishant Saran, MBBS, Sameh M. Said, MD, Hartzell V

Nationwide cohort study of mitral valve repair versus replacement for infective endocarditis Hsiu-An Lee, MD, Yu-Ting Cheng, MD, Victor Chien-Chia Wu,

Structural deterioration of the Freestyle aortic valve: Mode of presentation and mechanisms Siamak Mohammadi, MD, Richard Baillot, MD, Pierre Voisine,

Joshua M. Rosenblum, MD, PhD, Bradley G. Leshnower, MD, Rena C

Impact of pulmonary hypertension on outcomes after aortic valve replacement for aortic valve stenosis Spencer J. Melby, MD, Marc R. Moon, MD, Brian R.

Successful totally thoracoscopic management of a superior vena cava perforation with a pacemaker lead Alexander Bogachev-Prokophiev, MD, Ravil Sharifulin,

Aortic valve repair by cusp extension for rheumatic aortic insufficiency in children: Long- term results and impact of extension material Patrick O. Myers,

Open thoracoabdominal aortic repair for chronic type B dissection

Surgery for aortic and mitral valve disease in the United States: A trend of change in surgical practice between 1998 and 2005 Scott D. Barnett, PhD,

The Journal of Thoracic and Cardiovascular Surgery

Chronic obstructive pulmonary disease severity influences outcomes after off-pump coronary artery bypass Benjamin Medalion, MD, Michael G. Katz, MD,

Tirone E. David, MD, Gheorghe Gavra, MD, Christopher M

Valve performance classification in 630 subcoronary Ross patients over 22 years Hans-Hinrich Sievers, MD, Ulrich Stierle, MD, Michael Petersen, MD, Stefan.

Valve-sparing root reimplantation and leaflet repair in a bicuspid aortic valve: Comparison with the 3-cusp David procedure Joseph E. Bavaria, MD, Nimesh.

Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD

Niv Ad, MD, Lawrence M. Wei, MD

David valve-sparing aortic root replacement: Equivalent mid-term outcome for different valve types with or without connective tissue disorder John-Peder.

Replicating the success of mitral valve repair in the aortic valve

Increase in size of the pulmonary autograft after the ross operation in children: Growth or dilation? Laszlo Solymar, MD, PhD, Göran Südow, MD, Daniel.

The Ross procedure: Time to reevaluate the guidelines

Thirty-year experience with a bileaflet mechanical valve prosthesis

The Ross procedure: Outcomes at 20 years

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

Right Ventricular Outflow Tract Replacement With Xenografts in Ross Patients Older Than 60 Years Alexander Karaskov, MD, Alexander Bogachev-Prokophiev,

The Mitroflow aortic valve: A past, present, and future illuminated

Surgery for rheumatic tricuspid valve disease: A 30-year experience

Quality of life after aortic valve surgery: Replacement versus reconstruction Diana Aicher, MD, Annika Holz, Susanne Feldner, MD, Volker Köllner, MD,

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Severe tricuspid or mitral regurgitation in inoperable patients with aortic stenosis. Can we leave them alone? Juan A. Crestanello, MD The Journal of.

Ventricular assistant in restrictive cardiomyopathy: Making the right connection Robert D.B. Jaquiss, MD The Journal of Thoracic and Cardiovascular Surgery

Do statins delay the progression of aortic stenosis?

Commentary: When a choice is not an echo

Expanding the results of the Ross operation

Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement Todd M. Dewey,

Valve-sparing aortic root replacement in bicuspid aortic valves: A reasonable option? Diana Aicher, MD, Frank Langer, MD, Anke Kissinger, Henning Lausberg,

Apples remain apples NO matter what

National trends in utilization and in-hospital outcomes of mechanical versus bioprosthetic aortic valve replacements Abby J. Isaacs, MS, Jeffrey Shuhaiber,

Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience Tirone E. David, MD, Susan Armstrong, MSc, Joan.

Surgery for secondary tricuspid regurgitation: Rings, bands, or sutures, does it matter? Manuel J. Antunes, MD The Journal of Thoracic and Cardiovascular.

Is early antithrombotic therapy necessary in patients with bioprosthetic aortic valves in normal sinus rhythm? Andrew W. ElBardissi, MD, MPH, Daniel.

Presentation transcript:

Factors impacting long-term pulmonary autograft durability after the Ross procedure Ravil Sharifulin, MD, Alexander Bogachev-Prokophiev, MD, Sergey Zheleznev, MD, Igor Demin, MD, Alexey Pivkin, MD, Alexander Afanasyev, MD, Alexander Karaskov, MD The Journal of Thoracic and Cardiovascular Surgery Volume 157, Issue 1, Pages 134-141.e3 (January 2019) DOI: 10.1016/j.jtcvs.2018.05.046 Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Survival. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Aortic regurgitation (AR) after the Ross procedure, over time. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Cumulative incidence curves depicting freedom from autograft reoperation, according to aortic valve anatomy and hemodynamic lesions. TAV, Tricuspid aortic valve; AS, aortic stenosis; AI, aortic insufficiency; BAV, bicuspid aortic valve; CI, confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E1 Distribution of aortic valve surgeries over the years. The annual absolute number of the Ross procedures and percent of all aortic valve procedures are shown. Arrows represent the time points when technical modifications of the Ross procedure occurred. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E2 New York Heart Association (NYHA) class over time. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E3 Kaplan–Meier curves for freedom from thromboembolism, bleeding, and endocarditis. A, Freedom from thromboembolism. B, Freedom from major bleeding. C, Freedom from endocarditis. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Figure E4 Proportion of patients with autograft dilatation (≥45 mm), over time. N, Number of patients with autograft dilatation. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Cumulative incidence of autograft reoperation depends on valve anatomy and hemodynamics. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

Video 1 External reinforcement of a pulmonary autograft using a vascular graft. Video available at: https://www.jtcvs.org/article/S0022-5223(18)31468-5/fulltext. The Journal of Thoracic and Cardiovascular Surgery 2019 157, 134-141.e3DOI: (10.1016/j.jtcvs.2018.05.046) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions