Technical considerations and sizing of external annuloplasty in the Ross procedure

Eur J Cardiothorac Surg. 2024 Mar 29;65(4):ezae118. doi: 10.1093/ejcts/ezae118.

Abstract

Pure aortic regurgitation and dilation of aortic annulus are the most significant risk factors for the failure of pulmonary autograft after the Ross procedure. Aortic annuloplasty has a positive effect on the durability of the autograft. Previously, we described a technique for external annuloplasty with dedicated CORONEO ring. In the present manuscript, we suggest the sizing of annuloplasty based on the diameter of pulmonary autograft annulus.

Keywords: Aortic annuloplasty; Autograft; Long-term survival; Ross procedure; Valve durability.

MeSH terms

  • Aortic Valve / diagnostic imaging
  • Aortic Valve / surgery
  • Aortic Valve Insufficiency* / diagnostic imaging
  • Aortic Valve Insufficiency* / etiology
  • Aortic Valve Insufficiency* / surgery
  • Aortic Valve Stenosis* / surgery
  • Autografts
  • Follow-Up Studies
  • Humans
  • Pulmonary Valve* / transplantation
  • Reoperation / adverse effects
  • Transplantation, Autologous / adverse effects
  • Treatment Outcome