Original articleCongenital heart surgeryA Single-Center Experience With the Ross Procedure Over 20 Years
Section snippets
Patients
All patients who underwent a Ross procedure with intra-annular implantation of the autograft as a freestanding root (modified Yacoub technique) at the Medical University of Vienna and Vienna General Hospital between 1991 and 2011 were included in this analysis. The Ross procedure was offered to eligible patients younger than 40 years by those surgeons at our institution who favored this operation. Furthermore, it was performed in older patients at their own request if considered as appropriate.
Results
A total of 246 patients underwent a Ross procedure during the study period. Aortic regurgitation was the most frequent indication for surgery (40%). Combined aortic lesions and aortic stenosis were less frequent (31% and 29%, respectively). Perioperative data are presented in Table 1, patient characteristics are depicted in Table 2, and preoperative aortic valve patterns are shown in Table 3. The mean and median follow-up durations were 9 ± 5 and 10 (4; 12) years, respectively. Twelve (4.9%)
Comment
We report herein the results of 246 Ross procedures performed in 20 years at a single center. It should be emphasized that in this series of patients, aortic regurgitation due to root dilatation as well as bicuspid aortic valve were not a contraindication to the Ross operation. In fact, 40% of our population presented with aortic regurgitation and 29% required a reduction of the ascending aorta.
Our outcome regarding survival and reoperations is similar to prior reports and underline the value
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