Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experience

Tsaroev, B.S.; Чернов, И. И.; Энгиноев, С. Т.; Mustaev, Muslim

doi:10.1016/j.xjon.2022.04.026

Cited by 4 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…в своей статье показали, что 12-летняя выживаемость у взрослых пациентов после операции Росса составила 94,7% и была сопоставима с общей популяцией того же возраста и пола. А частота свободы от реоперации в течение 10 лет составила 89,1% [4], тем самым подтвердив долговечность данной операции.…”

Section: Discussionunclassified

“…Пиковый и средний градиенты на АК в раннем послеоперационном периоде были статистически значимо ниже в группе ВАИ, чем в группе ВДИ (6 [4-8] и 4 [3][4][5] против 8 [7][8][9][10][11] и 7 [5][6][7][8][9] мм рт. ст., p = 0,04) (рис.…”

Section: послеоперационные и среднесрочные эхокардиографические парам...unclassified

“…За последние десятилетия процедура Росса зарекомендовала себя как оптимальная альтернатива, способная обеспечить отличные результаты с точки зрения выживаемости и гемодинамические показатели, сравнимые с таковыми у пациентов с нормальным АК [3,4]. Процедура Росса имеет лучшую выживаемость, чем гомографты, механические и биологические протезы [5,6].…”

Section: Introductionunclassified

See 2 more Smart Citations

Autologous inclusion technique versus Dacron inclusion technique in modified Ross surgery in adults: a retrospective single-center study

Chernov,

Enginoev,

Ziankov

et al. 2024

SJCEM

View full text Add to dashboard Cite

The Ross procedure has been shown to have excellent long-term outcomes. However, pulmonary autografts remain at risk of dilation in the long-term period. Therefore, the autologous inclusion technique (AIT) and the Dacron inclusion technique (DIT) have been developed. No direct comparison up to date has been reported of these two techniques.Aim: To compare immediate and medium-term results performing various modified techniques of the Ross operation.Material and Methods. The following retrospective study included 43 patients (AIT: 22; DIT: 21) aged 18 years and older with an aortic valve (AV) pathology who underwent modified Ross procedures (AIT and DIT) from January 2014 to December 2019, performed by a single surgeon. The main endpoints were: in-hospital mortality, postoperative AV pressure gradients, time of myocardial ischemia and cardiopulmonary bypass, postoperative complications (resternotomy due to bleeding, perioperative myocardial infarction, stroke, sternal infection, conduction disorder requiring implantation of a permanent pacemaker, acute renal failure requiring hemodialysis) and mid-term outcomes (freedom from reoperation, freedom from aortic dilatation ≥ 5 cm). The median follow-up period was 23 (12–68) months.Results. The main indication for surgery was aortic regurgitation in 32 patients (74.4%). Bicuspid aortic valve was diagnosed in 29 (67.4%) patients. There were 33 (76.7%) males with an average age of 40 ± 11.7 years. There were no lethal outcomes in both groups. There was also no significant difference in postoperative complications. The peak and mean gradients on the AV were significantly lower in the AIT group than in the DIT group (6 and 4 mmHg vs 8 and 7 mmHg, p = 0.04). Five-year overall survival, freedom from reoperation on AV and PV, and freedom from dilatation of the ascending aorta ≥ 5 cm after modified Ross operation were 97.4%, 100%, and 100%, respectively. There was no statistically significant difference between groups in terms of overall survival (p = 0.66).Conclusion. Both techniques, autologous inclusion and Dacron inclusion, provide excellent immediate and mid-term outcomes in terms of overall survival, freedom from reoperation and freedom from aortic dilation

show abstract

Section: Discussionunclassified

Section: послеоперационные и среднесрочные эхокардиографические парам...unclassified

Section: Introductionunclassified

See 1 more Smart Citation

Autologous inclusion technique versus Dacron inclusion technique in modified Ross surgery in adults: a retrospective single-center study

Chernov,

Enginoev,

Ziankov

et al. 2024

SJCEM

View full text Add to dashboard Cite

show abstract

“…После окончания искусственного кровообращения проводили контрольное чреспищеводное ультразвуковое исследование для оценки функции миокарда и клапанов, гемодинамики на аутографте в аортальной позиции и гомографте в выводном отделе правого желудочка (ВОПЖ). Более подробно хирургическая техника и рисунки были описаны нами ранее в соответствующей статье [14].…”

unclassified

“…Имплантация постоянного ЭКС, n (%) 5 (2,4) Инсульт, n (%) 2 (0,9) ОПН, n (%) 5 (2,4) Время нахождения в реанимации, ч (Me [Q1-Q3]) 21 Период госпитализации, дней, Me [Q1-Q3]) 12 (10)(11)(12)(13)(14)(15) Сокращения: ОПН -острая почечная недостаточность, ЭКС -электрокардио стимулятор.…”

unclassified

Pulmonary homograft dysfunction after Ross procedure in adults: a single center experience

et al. 2022

View full text Add to dashboard Cite

The Ross procedure was first proposed by Donald Ross in 1967. Numerous studies show excellent long-term outcomes of the Ross operation. One of its disadvantages is the intervention on two valves due to pulmonary homograft dysfunction.Aim. To study long-term outcomes of pulmonary homograft use after Ross operation (cumulative incidence of pulmonary homograft dysfunction, freedom from reoperation on pulmonary homograft, long-term survival, predictors of pulmonary homograft dysfunction) using data from one Russian center.Material and methods. A retrospective study included patients aged 18 years and older with aortic valve disease who underwent Ross procedure from April 2009 to December 2020 by a single surgeon. The age of the patients was 35 (26-44) years (men, 159 (75%)). Infective endocarditis as a cause of aortic valve pathology was diagnosed in 55 (26%) patients. Bicuspid aortic valve was diagnosed in 131 (62%) patients. The median follow-up period was 79 (26,5102,7) months.Results. Combined interventions were performed in 40 cases (18,9%). The modified Ross procedure was used in 54 (25,5%) cases (intra-aortic — 29, using Dacron tube graft — 25). Inhospital mortality was 0,5%. The 5- and 10-year allcause survival rates were 98,5% and 95,4%, while the 10-year cumulative pulmonary valve reoperation rate and pulmonary homograft dysfunction was 4,6% and 35,2%, respectively. The only factor affecting pulmonary homograft dysfunction was patient age ≤30 years (odds ratio =0,2 with 95% confidence interval: 0,06-0,7; p=0,02).Conclusion. Fresh pulmonary homografts have a low incidence of dysfunction and reintervention after Ross procedure. Young age is the only independent risk factor for pulmonary homograft dysfunction.

show abstract

Reoperations after Ross procedure: a retrospective study

Chernov,

Enginoev,

Zenkov

et al. 2023

Russ J Cardiol

View full text Add to dashboard Cite

Aim. To analyze the immediate outcomes of reinterventions after Ross procedure.Material and methods. From April 2009 to December 2022, 224 Ross operations in adults were performed at the Federal Center for Cardiovascular Surgery. The retrospective study included 17 patients who required repeated interventions (14 men/3 women). The mean age of the patients was 38±11 years, with a minimum age of 21 and a maximum of 54 years. A history of infective endocarditis was revealed in 4 (23,5%) patients, hypertension — in 3 (17,6%) patients. Of the 17 included patients, 15 patients underwent the classic Ross operation ("full root replacement"), while 2 — a modified technique (1 — wrapping with aorta, 1 — wrapping with a Dacron graft). Annulus enhancement was previously performed in 3 patients.Results. Interventions on the pulmonary autograft and homograft were performed in 16 and 4 cases, respectively. The main indication for pulmonary autograft intervention was aortic regurgitation in 15 cases, and neoaortic aneurysm in 14 cases. In 3 patients, there was pulmonary homograft stenosis, while in 1 case — thrombosis. Two patients required interventions on other valves: 1 — mitral valve stenosis, 1 — severe tricuspid regurgitation. Mean reoperation, cardiopulmonary bypass and myocardial ischemia time were 289±62, 126±35 and 98±22 min, respectively. Combined interventions were performed in 6 cases. David valve-sparing procedure was performed in 9 patients, Bentall-de Bono technique — in 3, aortic valve repair — in 2, mechanical aortic valve replacement — in 2, supracoronary ascending aorta replacement — in 2, pulmonary homograft replacement — in 2, pulmonary homograft thrombectomy — in 1, pulmonary homograft repair — in 1 patient, mitral valve replacement — in 1 patient, tricuspid valve repair — in 1 patient. One patient required resternotomy for bleeding. There were no postoperative complications (perioperative myocardial infarction, acute kidney injury, stroke, sternal infection, cardiac tamponade) and deaths. The median length of stay in intensive care unit was 21 [16-23] hours.Conclusion. Reoperations after the Ross procedure may be required for different pathologies, but all can be performed surgically with a high safety in experienced operator.

show abstract

Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experience

Cited by 4 publications

References 22 publications

Autologous inclusion technique versus Dacron inclusion technique in modified Ross surgery in adults: a retrospective single-center study

Autologous inclusion technique versus Dacron inclusion technique in modified Ross surgery in adults: a retrospective single-center study

Pulmonary homograft dysfunction after Ross procedure in adults: a single center experience

Reoperations after Ross procedure: a retrospective study

Contact Info

Product

Resources

About