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Late Results of the Ross Procedure

Friday, January 18, 2019

Submitted by

Claire Vernon

Source

Source Name: The Journal of Thoracic and Cardiovascular Surgery

Source URL: https://doi.org/10.1016/j.jtcvs.2018.06.037

Author(s)

Tirone E. David, Maral Ouzounian, Carolyn M. David, Myriam Lafreniere-Roula, Cedric Manlhiot

David and colleagues prospectively examined long-term results of the Ross procedure, following a cohort of 212 patients over a median 18.0 years (interquartile range, 14.6-21.2). They report 10.8% cumulative mortality and 16.8% cumulative probability of Ross-related reoperations at 20 years. Postoperative aortic insufficiency increased with time and was associated with the presence of preoperative aortic insufficiency. The authors conclude that the Ross procedure should be part of the surgical armamentarium for treating aortic stenosis in young adults.