The Ross procedure: Outcomes at 20 years

Slides:



Advertisements
Similar presentations
Aortic Valve Replacement With Patch Enlargement of the Aortic Annulus
Advertisements

Max B. Mitchell, MD  The Journal of Thoracic and Cardiovascular Surgery 
Of mice and men and surgical transcatheter aortic valve insertion
Challenging homografts as the holy grail for aortic valve endocarditis
Valve-sparing aortic root replacement and remodeling with complex aortic valve reconstruction in children and young adults with moderate or severe aortic.
Hancock II Bioprosthesis for Aortic Valve Replacement: The Gold Standard of Bioprosthetic Valves Durability?  Tirone E. David, MD, Susan Armstrong, MS,
Valve repair improves the outcome of surgery for chronic severe aortic regurgitation: A propensity score analysis  Christophe de Meester, MS, Agnès Pasquet,
Ross operation: 16-year experience
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 
Association between indices of prosthesis internal orifice size and operative mortality after isolated aortic valve replacement  Charles R. Bridges, 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,
Modeling of predissection aortic size in acute type A dissection: More than 90% fail to meet the guidelines for elective ascending replacement  Bartosz.
Form ever follows function
Bilateral pulmonary arterial banding results in an increased need for subsequent pulmonary artery interventions  Ryan R. Davies, MD, Wolfgang A. Radtke,
Aamir Jeewa, MD, Cedric Manlhiot, BS, Paul F
Bicuspid aortic valve aortopathy: One size fits all?
Hans-H. Sievers, MD, Ulrich Stierle, MD, Efstratios I
Mechanical valves versus the Ross procedure for aortic valve replacement in children: Propensity-adjusted comparison of long-term outcomes  Bahaaldin.
A. Marc Gillinov, MD, Eugene H. Blackstone, MD, Edward R
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,
Reduced survival in women after valve surgery for aortic regurgitationEffect of aortic enlargement and late aortic rupture  Monica L. McDonald, MDa, Nicholas.
Fate of the Remaining Neo-Aortic Root After Autograft Valve Replacement With a Stented Prosthesis for the Failing Ross Procedure  Bahaaldin Alsoufi, MD,
Preoperative aortic root geometry and postoperative cusp configuration primarily determine long-term outcome after valve-preserving aortic root repair 
Transcatheter aortic valve replacement in intermediate-risk patients
The fate of the neoaortic valve and root after the modified Ross–Konno procedure  Bahaa M. Fadel, MD, Cedric Manlhiot, BSc, Zohair Al-Halees, MD, Giovanni.
Scott B. Capps, MSa, Ronald C. Elkins, MDb, David M. Fronk, MSa 
Quo Vadis Pulmonary Autograft—The Ross Procedure in Its Second Decade: A Single- Center Experience in 645 Patients  Timo Weimar, MD, Efstratios I. Charitos,
Joshua M. Rosenblum, MD, PhD, Bradley G. Leshnower, MD, Rena C
Effect of the prosthesis–patient mismatch on long-term clinical outcomes after isolated aortic valve replacement for aortic stenosis: A prospective observational.
The aortic valve–sparing operation
Raymond B Hokken, MD, Adri H Cromme-Dijkhuis, MD, PhD, Ad J. J
Bahaaldin Alsoufi, MD, Cedric Manlhiot, BSc, Brian W
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,
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.
Which is the “lord” of the aortic rings?
Fenton H. McCarthy, MD, MS, Nimesh D. Desai, MD, PhD 
Minimally invasive tricuspid valve surgery in patients at high risk
Replicating the success of mitral valve repair in the aortic valve
Bradley G. Leshnower, MD, Robert A. Guyton, MD, Richard J
Factors impacting long-term pulmonary autograft durability after the Ross procedure  Ravil Sharifulin, MD, Alexander Bogachev-Prokophiev, MD, Sergey Zheleznev,
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
Morgan L. Brown, MD, Hartzell V. Schaff, MD, Zhuo Li, MS, Rakesh M
Passing the torch The Journal of Thoracic and Cardiovascular Surgery
Postimplantation morphologic changes of glutaraldehyde-fixed porcine aortic roots and risk of aneurysm and rupture  Tirone E. David, MD, Susan Armstrong,
The Mitroflow aortic valve: A past, present, and future illuminated
Patrick T. Roughneen, MD, Grant T. Fankhauser, MD, Abe DeAnda, MD 
Hans-Joachim Schäfers, MD 
Ralph S. Mosca, MD  The Journal of Thoracic and Cardiovascular Surgery 
Surgery for rheumatic tricuspid valve disease: A 30-year experience
Concomitant replacement of the ascending aorta is free—for some
Jeffrey H. Shuhaiber, MD, Jeff Moore, MS, David B. Dyke, MD 
The Journal of Thoracic and Cardiovascular Surgery
Discussion The Journal of Thoracic and Cardiovascular Surgery
The future of cardiac surgery training: A survival guide
Tricuspid annulus diameter does not predict the development of tricuspid regurgitation after mitral valve repair for mitral regurgitation due to degenerative.
Commentary: When a choice is not an echo
Reliability of risk algorithms in predicting early and late operative outcomes in high-risk patients undergoing aortic valve replacement  Todd M. Dewey,
Maral Ouzounian, MD, PhD, Amine Mazine, MD, MSc, Tirone E. David, MD 
“The more things change…”: The challenges ahead
Preoperative PFTs: The answer is blowing in the wind
Chordal replacement with polytetrafluoroethylene sutures for mitral valve repair: A 25- year experience  Tirone E. David, MD, Susan Armstrong, MSc, Joan.
Which biologic valve should we select for the 45- to 65-year-old age group requiring aortic valve replacement?  F. Dagenais, MD, P. Cartier, MD, P. Voisine,
Thanos Sioris, MD, Tirone E
Intraoperative endocardial ultrasonography: Improving safety in mitral valve surgery  Juan A. Crestanello, MD  The Journal of Thoracic and Cardiovascular.
Zone zero thoracic endovascular aortic repair is all about “location, location, location”  Kevin L. Greason, MD  The Journal of Thoracic and Cardiovascular.
Paul Philipp Heinisch, MD, Thierry Carrel, MD 
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