Abstract
Approximately 25% of patients require reoperation within 15 yrs of a Ross procedure. Increasing experience with valve-sparing root replacement (VSRR) has led some surgeons to spare the autograft valve. Here, we demonstrate that all valves can be surgically repaired or replaced safely during autograft VSRR. As more patients are considered for this operation, coexistent mitral, tricuspid, and pulmonic valve dysfunction should not preclude salvage of the autograft valve, nor should autograft leaflet prolapse.
Keywords:
Ross procedure; aortic valve; valve-sparing root replacement.
MeSH terms
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Aged
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Aortic Aneurysm / diagnostic imaging
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Aortic Aneurysm / etiology
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Aortic Aneurysm / surgery*
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Aortic Valve Insufficiency / diagnostic imaging
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Aortic Valve Insufficiency / etiology
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Aortic Valve Insufficiency / physiopathology
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Aortic Valve Insufficiency / surgery*
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Autografts
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Bioprosthesis
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Blood Vessel Prosthesis
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Blood Vessel Prosthesis Implantation / adverse effects
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Blood Vessel Prosthesis Implantation / instrumentation
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Blood Vessel Prosthesis Implantation / methods*
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Device Removal*
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Heart Valve Prosthesis
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Heart Valve Prosthesis Implantation / adverse effects
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Heart Valve Prosthesis Implantation / instrumentation
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Heart Valve Prosthesis Implantation / methods*
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Humans
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Male
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Mitral Valve Annuloplasty / adverse effects
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Mitral Valve Annuloplasty / instrumentation
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Mitral Valve Annuloplasty / methods*
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Mitral Valve Insufficiency / diagnostic imaging
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Mitral Valve Insufficiency / etiology
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Mitral Valve Insufficiency / physiopathology
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Mitral Valve Insufficiency / surgery*
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Pulmonary Valve Insufficiency / diagnostic imaging
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Pulmonary Valve Insufficiency / etiology
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Pulmonary Valve Insufficiency / physiopathology
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Pulmonary Valve Insufficiency / surgery*
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Treatment Failure
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Tricuspid Valve Insufficiency / diagnostic imaging
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Tricuspid Valve Insufficiency / etiology
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Tricuspid Valve Insufficiency / physiopathology
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Tricuspid Valve Insufficiency / surgery*