PMID- 12934169
OWN - NLM
STAT- MEDLINE
DCOM- 20030930
LR  - 20071115
IS  - 0012-0472 (Print)
IS  - 0012-0472 (Linking)
VI  - 128
IP  - 34-35
DP  - 2003 Aug 22
TI  - [The Ross procedure (pulmonary autograft) as an alternative for aortic valve 
      replacement].
PG  - 1759-64
AB  - BACKGROUND AND OBJECTIVE: The Ross procedure (pulmonary autograft) has since the 
      1980s attracted growing interest as an alternative to the widely practised 
      insertion of a prosthetic aortic valve. The 12-year experience of a consecutive 
      series from one centre are reported here. PATIENTS AND METHODS: Between February 
      1990 and January 2002 a Ross procedure, predominantly with the subcoronary 
      technique, was performed in 244 consecutive patients with aortic valve disease 
      (244 men, 54 women, mean age 46 +/- 13.5 years). Annual follow-up clinical 
      examinations (mean postoperative period 32.9 +/- 29.5 months in 99 % of the 
      cohort) were performed. RESULTS: Perioperative mortality was 0.8 % (n=2), and 
      there were two late deaths unrelated to the aortic valve disease. Seven patients 
      had to be re-operated for failure of the homograft (n=4) or autograft (n=4). 
      According to clinical criteria, 99 % of the followed-up patients were in New York 
      Heart Association (NYHA) functional class I or II, only two patients, with 
      pulmonary comorbidity, were in class III. Echocardiography demonstrated 
      autografts with nearly normal transvalvular gradient (mean maximal pressure 
      gradient 6.5 +/- 3.3 mmHg), while nine patients had second-degree aortic 
      regurgitation. The mean maximal gradient across the homograft valve in the 
      pulmonary position was 12.0 +/- 6.9 mmHg, while ten patients had second-degree 
      and one had third-degree pulmonary regurgitation. CONCLUSION: The technically 
      demanding Ross procedure produced excellent clinical and hemodynamic mid-term 
      results. It is thus an appealing alternative to the widely used replacement by a 
      prosthetic valve. Definitive assessment awaits further long-term follow-up.
FAU - Schmidtke, C
AU  - Schmidtke C
AD  - Klinik fur Herzchirurgie, Universitatsklinikum Schleswig-Holstein, Campus Lubeck. 
      schmidtk@medinf.mu-luebeck.de
FAU - Stierle, U
AU  - Stierle U
FAU - Sievers, H-H
AU  - Sievers HH
FAU - Graf, B
AU  - Graf B
LA  - ger
PT  - Comparative Study
PT  - English Abstract
PT  - Journal Article
TT  - Die Ross-Operation (pulmonaler Autograft) als alternativer Aortenklappenersatz.
PL  - Germany
TA  - Dtsch Med Wochenschr
JT  - Deutsche medizinische Wochenschrift (1946)
JID - 0006723
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aortic Valve Insufficiency/physiopathology/*surgery
MH  - Aortic Valve Stenosis/physiopathology/*surgery
MH  - Cohort Studies
MH  - Data Interpretation, Statistical
MH  - Echocardiography, Doppler
MH  - Female
MH  - Follow-Up Studies
MH  - Hemodynamics
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Pulmonary Valve/*transplantation
MH  - Reoperation
MH  - Time Factors
MH  - Transplantation, Autologous
EDAT- 2003/08/23 05:00
MHDA- 2003/10/01 05:00
CRDT- 2003/08/23 05:00
PHST- 2003/08/23 05:00 [pubmed]
PHST- 2003/10/01 05:00 [medline]
PHST- 2003/08/23 05:00 [entrez]
AID - 10.1055/s-2003-41707 [doi]
PST - ppublish
SO  - Dtsch Med Wochenschr. 2003 Aug 22;128(34-35):1759-64. doi: 10.1055/s-2003-41707.