EJCTS Click here for details of sales representative
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Elkins, R. C.
Right arrow Articles by Lane, M. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Elkins, R. C.
Right arrow Articles by Lane, M. M.

European Journal of Cardio-Thoracic Surgery, Vol 8, 379-383, Copyright © 1994 by European Association for Cardio-thoracic Surgery

ARTICLES

Medium-term follow-up of pulmonary autograft replacement of aortic valves in children

RC Elkins, CJ Knott-Craig, JD Randolph, JR Razook, KE Ward, ED Overholt and MM Lane
Dept. of Surgery, University of Oklahoma Health Sciences Center, Oklahoma City 73190.

Pulmonary autograft replacement (PAG) of the aortic valve in children has been shown to be safe and effective with a low incidence of late valve dysfunction. Relief of all types of left ventricular outflow tract obstruction using the pulmonary root has been possible. Concern about the durability of the pulmonary root in the aortic position, and the potential for growth of the pulmonary autograft used either as a root replacement or intraaortic implant, has been questioned. Sixty- five consecutive patients, aged 1.8 to 21 years (mean 12 years) operated on between September 1986 and January 1993, 35 with an intra- aortic implant (IA) and 30 with root replacement (RR), were evaluated by clinical and serial echocardiographic studies (ECHO) up to 6.5 years post-operatively. The hospital mortality rate was 3.0% (70% CL 2.1- 5.1%). Two patients required reoperation for PAG insufficiency (AI), one for technical malalignment necessitating replacement at 6 months, and one with progressive leaflet prolapse due to adherence of the valve leaflet to a ventricular septal defect (VSD) patch. Freedom from significant aortic regurgitation at 6-year follow-up was 100% for RR and 91 +/- 6% for IA, and freedom from all valve-related complications including reoperation was 92 +/- 5% at 6 years. Significant enlargement of the aortic annulus which parallels somatic growth has been measured by ECHO in 17 IA implants (P < 0.001) and 17 RR patients (P < 0.01) by 1 year, and in 10 IA (P = 0.007) and 6 RR (P < 0.05) by 2 years.(ABSTRACT TRUNCATED AT 250 WORDS)


This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
A. Frigiola, M. Ranucci, C. Carlucci, A. Giamberti, R. Abella, and M. Di Donato
The ross procedure in adults: long-term follow-up and echocardiographic changes leading to pulmonary autograft reoperation.
Ann. Thorac. Surg., August 1, 2008; 86(2): 482 - 489.
[Abstract] [Full Text] [PDF]

Home page
 J Am Coll CardiolHome page
S. K. Pasquali, M. S. Cohen, D. Shera, G. Wernovsky, T. L. Spray, and B. S. Marino
The Relationship Between Neo-Aortic Root Dilation, Insufficiency, and Reintervention Following the Ross Procedure in Infants, Children, and Young Adults
J. Am. Coll. Cardiol., May 1, 2007; 49(17): 1806 - 1812.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
C. Rergkliang, V. Chittithavorn, A. Chetpaophan, and P. Vasinanukorn
Surgery for Aortic Insufficiency Associated with Ventricular Septal Defect
Asian Cardiovasc Thorac Ann, March 1, 2005; 13(1): 61 - 64.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
S. G Raja and M. Pozzi
Growth of Pulmonary Autograft After Ross Operation in Pediatric Patients
Asian Cardiovasc Thorac Ann, December 1, 2004; 12(4): 285 - 290.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
E. Erez, K. R. Kanter, V. K.H. Tam, and W. H. Williams
Konno aortoventriculoplasty in children and adolescents: from prosthetic valves to the ross operation
Ann. Thorac. Surg., July 1, 2002; 74(1): 122 - 126.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
E. Erez, V. K.H Tam, W. H. Williams, and K. R. Kanter
The Konno aortoventriculoplasty for repeat aortic valve replacement
Eur. J. Cardiothorac. Surg., June 1, 2001; 19(6): 793 - 796.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. C. Elkins, C. J. Knott-Craig, K. E. Ward, and M. M. Lane
The Ross Operation in Children: 10-Year Experience
Ann. Thorac. Surg., February 1, 1998; 65(2): 496 - 502.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
F. C. Spencer
The Development of Valvular Heart Surgery Over the Past 50 Years (1947-1997): Personal Recollections
Ann. Thorac. Surg., November 1, 1997; 64(5): 1549 - 1554.
[Abstract] [Full Text]

Home page
 CirculationHome page
J. C. Chambers, J. Somerville, S. Stone, and D. N. Ross
Pulmonary Autograft Procedure for Aortic Valve Disease : Long-term Results of the Pioneer Series
Circulation, October 7, 1997; 96(7): 2206 - 2214.
[Abstract] [Full Text]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
V. M. Reddy, H. A. Rajasinghe, D. F. Teitel, G. S. Haas, F. L. Hanley, and S. b. B. B. Roe
AORTOVENTRICULOPLASTY WITH THE PULMONARY AUTOGRAFT: THE "ROSS-KONNO" PROCEDURE
J. Thorac. Cardiovasc. Surg., January 1, 1996; 111(1): 158 - 167.
[Abstract] [Full Text]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1994 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.