The Ross procedure: Outcomes at 20 years

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Presentation transcript:

The Ross procedure: Outcomes at 20 years Tirone E. David, MD, Carolyn David, BN, Anna Woo, MD, Cedric Manlhiot, BSc The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 1, Pages 85-94 (January 2014) DOI: 10.1016/j.jtcvs.2013.08.007 Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Survival estimates of patients who underwent the Ross procedure, including those who no longer had the pulmonary autograft (black solid line) with 95% confidence limits (black dotted line) and that of the general population matched for age and sex (dotted blue line). B, Reoperation-free survival and the competing risks for any reoperation on the pulmonary autograft or homograft and death. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 85-94DOI: (10.1016/j.jtcvs.2013.08.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Association between the probability of reoperation on the neo-aortic valve and the diameter of the aortic annulus (AA). The cut-off point was ≥28 mm. B, Association between the probability of reoperation on the neo-aortic valve and the diameter of the AA adjusted for body surface area (BSA). The cut-off point was at 15 mm/m2 (P = .001). Shaded area represents 95% confidence intervals. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 85-94DOI: (10.1016/j.jtcvs.2013.08.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Association between diameter of the aortic annulus (AA) index and the probability of postoperative development of aortic insufficiency (P = .02). B, Association between the diameter of the AA and the probability of postoperative development of aortic insufficiency adjusted for body surface area (BSA). Shaded area represents 95% confidence intervals. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 85-94DOI: (10.1016/j.jtcvs.2013.08.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Association between dilatation of the neo-aortic root (AOSINUS) and the development of aortic insufficiency. Shaded area represents 95% confidence intervals. The Journal of Thoracic and Cardiovascular Surgery 2014 147, 85-94DOI: (10.1016/j.jtcvs.2013.08.007) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions