Echocardiographic follow-up study of the Ross procedure in older versus younger patients

• Published in: The American heart journal 2001-08, Vol.142 (2), p.331-335
• Main Authors: Xie, Gong-Yuan, Bhakta, Divyesh, Smith, Mikel D.
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Age Factors; Aged; Aortic Valve Insufficiency - diagnostic imaging; Aortic Valve Insufficiency - surgery; Biological and medical sciences; Echocardiography, Doppler; Female; Follow-Up Studies; Heart Valve Prosthesis Implantation; Hemodynamics; Humans; Male; Medical Records; Medical sciences; Middle Aged; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the heart; Treatment Outcome; Ventricular Function, Left
• ISSN: 0002-8703; 1097-6744
• DOI: 10.1067/mhj.2001.116771

Objectives This study was designed to determine echocardiographic follow-up results of the Ross procedure in older adult patients with aortic valve disease. Background The excellent long-term results of the Ross procedure from several institutions have indicated that the pulmonary autograft may be the best available substitute for the diseased aortic valve in children and adolescents. The advantages of this operation include optimal hemodynamics and elimination of thromboembolic complications. These features may benefit older adult patients as well. Methods We reviewed data from 49 consecutive patients who had a Ross procedure between 1991 and 1996. Preoperative and postoperative Doppler echocardiographic studies were available for 44 patients (22 men, 22 women; mean [±SD] age 36 ± 14 years) who were grouped into