Presentation is loading. Please wait.

Presentation is loading. Please wait.

Long-Term Outcomes and Modes of Failure of the Ross Operation in Patients with Aortic Insufficiency Joel Price MD, MPH, Laurent De Kerchove MD, David Glineur.

Published byDylan Jordan Modified over 9 years ago

Similar presentations

Presentation on theme: "Long-Term Outcomes and Modes of Failure of the Ross Operation in Patients with Aortic Insufficiency Joel Price MD, MPH, Laurent De Kerchove MD, David Glineur."— Presentation transcript:

1 Long-Term Outcomes and Modes of Failure of the Ross Operation in Patients with Aortic Insufficiency
Joel Price MD, MPH, Laurent De Kerchove MD, David Glineur MD, PhD, Jean Rubay MD, and Gebrine El Khoury MD Department of Cardiovascular and Thoracic Surgery Cliniques St. Luc Brussels, Belgium

2 Background Long-term durability of the Ross operation when performed for isolated aortic insufficiency has been questioned. Especially important in the setting of a regurgitant bicuspid aortic valve bicuspid aortopathy involves the pulmonary trunk

3 Methods Isolated AI: AI (≥ 3+), absence of significant stenosis (mean gradient <30mmHg, AVA >1.5cm2) Review of institutional database revealed 68 patients underwent Ross operation for AI Mean follow-up 11.2 y, max follow-up 18.8y Complete as of March 2011 Statistical Anlysis: Kaplan-Meier, Log-rank and time-to-event

4 Outcomes Long-term survival and Cardiac survial
Recurrent significant AI (autograft regurgitation) Reoperation Valve-related events: Endocarditis, hemorrhage, thrombo-embolism Sub group analysis: Bicuspid vs tricuspid

5 Patient Charactersitics
Age 37.8 ± 9.8 Bicuspid Valve 55.9% NYHA Class 2.1± 0.8 Male 83.8% EF > 50% 92.8% Associated Procedure 11.9%

6 Long-Term Outcomes Outcome 5 Yrs 10 yrs Overall Survival 95%±3%
Cardiac Survival 100% Freedom from Recurrent AI 91%±4% 88%±5% Freedom from Reoperation 89%±4% Freedom from VRE

7 Reoperations Time Post Op (months) Site Indication Corrective Surgery
119 Aortic Valve AI + Dilation Mechanical Bentall 174 Dilation AVSRR 142 64 AI AV Repair 107 53 48 AI + Infective Endocarditis Stentless Root Replacement 178 151 Dilation + Homograft Stenosis AVSRR + Pulmonary Homograft 31 Mechanical AVR AVSRR = Aortic Valve Sparring Root Replacement, AV = Aortic Valve, AVR = Aortic Valve Replacement

8 Survival: Bicuspid vs Tricuspid

9 Recurrent AI: Bicuspid vs Tricuspid

10 Reoperation: Bicuspid vs Tricuspid

11 VRE: Bicuspid vs Tricuspid

12 Conclusions Ross operation for isolated AI was associated with excellent survival and freedom from recurrent AI, reoperation and valve-related events Bicuspid and tricuspid valves have equivalent outcomes Main mechanisms of failure are AI and autograft dilation

Download ppt "Long-Term Outcomes and Modes of Failure of the Ross Operation in Patients with Aortic Insufficiency Joel Price MD, MPH, Laurent De Kerchove MD, David Glineur."

Similar presentations

Allan Stewart, MD. , Jonathan A. Yang, MD; Mark J

Allan Stewart, MD. , Jonathan A. Yang, MD; Mark J
AVR: Choice of Prosthesis Tirone E. David University of Toronto.

AVR: Choice of Prosthesis Tirone E. David University of Toronto.
Fate of Un-replaced Sinuses of Valsalva in Bicuspid Aortic Valve Disease: Follow-up to 17 years Chan Park 1, Hector Michelena 2, Thoralf M. Sundt 1 Divisions.

Fate of Un-replaced Sinuses of Valsalva in Bicuspid Aortic Valve Disease: Follow-up to 17 years Chan Park 1, Hector Michelena 2, Thoralf M. Sundt 1 Divisions.
HTK Cardioprotection in Ross Procedure for Native/Prosthetic Valve Endocarditis Yoshiya Toyoda, Abul Kashem, Aki Shiose, Kazuhiro Hisamoto, Eros Leotta,

HTK Cardioprotection in Ross Procedure for Native/Prosthetic Valve Endocarditis Yoshiya Toyoda, Abul Kashem, Aki Shiose, Kazuhiro Hisamoto, Eros Leotta,
Bicuspid Aortic Valve Impacts the Incidence of Induced Leaflet Prolapse and Leaflet Repair Following Aortic Valve-Sparring Root Reconstruction for Aortic.

Bicuspid Aortic Valve Impacts the Incidence of Induced Leaflet Prolapse and Leaflet Repair Following Aortic Valve-Sparring Root Reconstruction for Aortic.
Case #1 Bicuspid Valve Dilated Aortic Root Mod AI/Mild AS - RW

Case #1 Bicuspid Valve Dilated Aortic Root Mod AI/Mild AS - RW
Khalil Fattouch, Roberta Sampognaro, Giuseppe Speziale, Marco Caruso, Pietro Dioguardi, Salvatore Novo, Giovanni Ruvolo. Disclosures: None Disclosures:

Khalil Fattouch, Roberta Sampognaro, Giuseppe Speziale, Marco Caruso, Pietro Dioguardi, Salvatore Novo, Giovanni Ruvolo. Disclosures: None Disclosures:
Intraoperative Transesophageal Echocardiographic Predictors of Recurrent Aortic Regurgitation after Aortic Valve Repair le Polain JB, Pouleur AC, Vancraeynest.

Intraoperative Transesophageal Echocardiographic Predictors of Recurrent Aortic Regurgitation after Aortic Valve Repair le Polain JB, Pouleur AC, Vancraeynest.
Long terms results after bicuspid aortic valve repair according to functional classification of aortic insufficiency Khalil Fattouch, Giacomo Murana, Sebastiano.

Long terms results after bicuspid aortic valve repair according to functional classification of aortic insufficiency Khalil Fattouch, Giacomo Murana, Sebastiano.
Surgical outcome of native valve infective endocarditis in srinagarind hospital 2004-2005.

Surgical outcome of native valve infective endocarditis in srinagarind hospital
Valve Surgery V.Rohn. Valve Surgery History before the era of ECC 1925 – Suttar – first successful digital commisurolysis of mitral valve 1952 – Hufnagel.

Valve Surgery V.Rohn. Valve Surgery History before the era of ECC 1925 – Suttar – first successful digital commisurolysis of mitral valve 1952 – Hufnagel.
Long Term Outcomes of Aortic Root Operations for Marfan Syndrome: A Comparison of Bentall versus Aortic Valve-Sparing Procedures Joel Price, MD, J. Trent.

Long Term Outcomes of Aortic Root Operations for Marfan Syndrome: A Comparison of Bentall versus Aortic Valve-Sparing Procedures Joel Price, MD, J. Trent.
Mechanical PVR Pearls & Pitfalls Joseph A. Dearani, MD Division of Cardiovascular Surgery AATS Seattle April 2015.

Mechanical PVR Pearls & Pitfalls Joseph A. Dearani, MD Division of Cardiovascular Surgery AATS Seattle April 2015.
Aortic Root Dilatation S/P Ross Procedure

Aortic Root Dilatation S/P Ross Procedure
University of Lübeck Department of Cardiac and Thoracic Vascular Surgery Diagnostics in pre and post-op managment in AF patiens Thorsten Hanke.

University of Lübeck Department of Cardiac and Thoracic Vascular Surgery Diagnostics in pre and post-op managment in AF patiens Thorsten Hanke.
Long-term Survival, Valve Durability, and Reoperation for Four Aortic Root + Ascending Procedures Lars G. Svensson, Saila T. Pillai, Jeevanantham Rajeswaran,

Long-term Survival, Valve Durability, and Reoperation for Four Aortic Root + Ascending Procedures Lars G. Svensson, Saila T. Pillai, Jeevanantham Rajeswaran,
EVEREST II Study Design Multicenter Randomized in a 2:1 ratio to either percutaneous or conventional surgery for the repair or replacement of the mitral.

EVEREST II Study Design Multicenter Randomized in a 2:1 ratio to either percutaneous or conventional surgery for the repair or replacement of the mitral.
The Reoperative Aortic Root: Degenerative Failure vs. Infectious Destruction – Outcomes of The “True Redo-Root” Reconstruction Rita K. Milewski, Arminder.

The Reoperative Aortic Root: Degenerative Failure vs. Infectious Destruction – Outcomes of The “True Redo-Root” Reconstruction Rita K. Milewski, Arminder.
Objective Bleeding events are grave and sometimes life threatening complications after prosthetic valve replacement, especially in hemodialysis patients.

Objective Bleeding events are grave and sometimes life threatening complications after prosthetic valve replacement, especially in hemodialysis patients.
Patients Characteristics

Patients Characteristics

Similar presentations

Ads by Google