Is the Ross Operation Still an Acceptable Option in Children and Adolescents?

Böhm, Jiirgen O.; Botha, Cornelius A; Horke, Alexander; Hemmer, Wolfgang; Röser, D; Blumenstock, Gunnar; Uhlemann, Frank; Rein, J

doi:10.1016/j.athoracsur.2006.04.086

Cited by 25 publications

(31 citation statements)

References 34 publications

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“…Thirty-nine publications were included: 17 consecutive series with both children and adults [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] (nϭ2610; 11 604 patient years); 12 adult patient series 20 -31 (nϭ1749; 7458 patientϭyears); and 10 pediatric patient series [32][33][34][35][36][37][38][39][40][41] (nϭ672; 3374 patient-years). Table 1 provides an overview of the publications obtained by the systematic review.…”

Section: Resultsmentioning

confidence: 99%

The Ross Procedure

et al. 2009

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Background-Reports on outcome after the Ross procedure are limited by small study size and show variable durability results. A systematic review of evidence on outcome after the Ross procedure may improve insight into outcome and potential determinants. Methods and Results-A systematic review of reports published from January 2000 to January 2008 on outcome after the Ross procedure was undertaken. Thirty-nine articles meeting the inclusion criteria were allocated to 3 categories: (1) consecutive series, (2) adult patient series, and (3) pediatric patient series. With the use of an inverse variance approach, pooled morbidity and mortality rates were obtained. Pooled early mortality for consecutive, adult, and pediatric patients series was 3.0% (95% confidence interval [CI], 1.8 to 4.9), 3.2% (95% CI, 1.5 to 6.6), and 4.2% (95% CI, 1.4 to 11.5). Autograft deterioration rates were 1.15% (95% CI, 1.06 to 2.06), 0.78% (95% CI, 0.43 to 1.40), and 1.38%/patient-year (95% CI, 0.68 to 2.80), respectively, and for right ventricular outflow tract conduit were 0.91% (95% CI, 0.56 to 1.47), 0.55% (95% CI, 0.26 to 1.17), and 1.60%/patient-year (95% CI, 0.84 to 3.05), respectively. For studies with mean patient age Ͼ18 years versus mean patient age Յ18 years, pooled autograft and right ventricular outflow tract deterioration rates were 1.14% (95% CI, 0.83 to 1.57) versus 1.69% (95% CI, 1.02 to 2.79) and 0.65% (95% CI, 0.41 to 1.02) versus 1.66%/patient-year (95% CI, 0.98 to 2.82), respectively. Conclusions-The Ross procedure provides satisfactory results for both children and young adults.

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Section: Resultsmentioning

confidence: 99%

The Ross Procedure

et al. 2009

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“…Tatebe et al [11] found 42% freedom from homograft failure after 5 years in his observation of 141 homografts in patients under 10 years. Feier et al [12] reports a 30% incidence of mean transconduit gradient of 20 mmHg and more at 5 years; Böhm et al [13] found 66% freedom from explantation or transvalvular gradient of 30 mmHg or more after the same time, Settepani et al [14] communicates that 25.5% of his patients developed homograft stenoses (no time related estimate was given) and Williams et al [15] reports 88% freedom from reoperation at 5 years. Stark et al [4] describe 31% 'conduit survival' after 15 years, while Niwaya et al [16] indicated 76% freedom from dysfunction at 8 years in his population of 78% Ross procedure patients.…”

Section: Discussionmentioning

confidence: 95%

Evaluation of 188 consecutive homografts implanted in pulmonary position after 20 years☆☆☆

Boethig

Goerler

Westhoff-Bleck

et al. 2007

European Journal of Cardio-Thoracic Surgery

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“…Nevertheless, the authors claimed a low incidence of late supravalvular pulmonary stenosis after ASO for TGA. Like other investigators [3,10], we defined the threshold to be 30 mmHg, considering that such gradient is not insignificant, even if a good number would indicate an intervention at 40 mmHg. Indeed, on one hand, this study shows that patients discharged from hospital with gradient !30 mmHg are more likely to undergo reintervention for RVOTO than those leaving hospital with gradient under 30 mmHg ( p = 0.026).…”

Section: Discussionmentioning

confidence: 99%