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Quo Vadis Pulmonary Autograft—The Ross Procedure in Its Second Decade: A Single- Center Experience in 645 Patients  Timo Weimar, MD, Efstratios I. Charitos,

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Presentation on theme: "Quo Vadis Pulmonary Autograft—The Ross Procedure in Its Second Decade: A Single- Center Experience in 645 Patients  Timo Weimar, MD, Efstratios I. Charitos,"— Presentation transcript:

1 Quo Vadis Pulmonary Autograft—The Ross Procedure in Its Second Decade: A Single- Center Experience in 645 Patients  Timo Weimar, MD, Efstratios I. Charitos, MD, Markus Liebrich, MD, Detlef Roser, MD, Ioannis Tzanavaros, MD, Nicolas Doll, MD, Wolfgang B. Hemmer, MD  The Annals of Thoracic Surgery  Volume 97, Issue 1, Pages (January 2014) DOI: /j.athoracsur Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Annulus reinforcement (autograft invaginated into the left ventricular outflow tract for implantation). (A, B) First suture line underneath the cusps incorporating a Dacron strip. (C) Second suture line to fix the remnant aortic wall to the autograft. (D) Schematic cross section. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 (A) Survival of Ross patients versus general German population, sex- and age-matched. (B) Freedom from autograft (AG) or pulmonary allograft (HG) reoperation. (C) Freedom from autograft reoperation. (D) Freedom from pulmonary allograft reoperation. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 (A, B) Postoperative probability of a patient being in each valve insufficiency grade. (C) Average pressure gradients across the right ventricular outflow tract (RVOT). (D) Longitudinal changes in sinotubular junction (STJ) and aortic annulus diameters. (CI = confidence interval.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 (A) Body surface area (BSA) indexed left ventricular (LV) mass preoperative and at latest follow-up (FU); p < (B) Longitudinal changes in left ventricular mass. Dotted lines denote 160 g/m2 (mean + one standard deviation of a normotensive control population) [22]. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions


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