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Late Pulmonary Autograft Dilation: Can We Make a Good Operation Great? The Tailored Approach.
- Source :
-
Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual [Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu] 2024; Vol. 27, pp. 42-46. Date of Electronic Publication: 2024 Jan 23. - Publication Year :
- 2024
-
Abstract
- While it is the main viable option in the growing child and young adult, the Ross procedure has expanded its applicability to older patients, for whom long-term results are equivalent, if not superior, to prosthetic aortic valve replacement. Strategies aiming at mitigating long-term autograft failure from root enlargement and valve regurgitation have led some to advocate for root reinforcement with prosthetic graft material. On the contrary, we will discuss herein the rationale for a tailored approach to the Ross procedure; this strategy is aimed at maintaining the natural physiology and interplay between the various autograft components. Several technical maneuvers, including careful matching of aortic and autograft annuli and sino-tubular junction as well as external support by autologous aortic tissue maintain these physiologic relationships and the viability of the autograft, and could translate in a lower need for late reintervention because of dilation and/or valve regurgitation.<br />Competing Interests: Declaration of competing interest The authors report no potential conflict of interest.<br /> (Copyright © 2024 Elsevier Inc. All rights reserved.)
- Subjects :
- Child
Young Adult
Humans
Autografts
Dilatation adverse effects
Transplantation, Autologous adverse effects
Transplantation, Autologous methods
Aortic Valve surgery
Reoperation
Treatment Outcome
Retrospective Studies
Aortic Valve Insufficiency surgery
Heart Valve Diseases complications
Heart Valve Diseases surgery
Pulmonary Valve surgery
Aortic Valve Stenosis surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1092-9126
- Volume :
- 27
- Database :
- MEDLINE
- Journal :
- Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual
- Publication Type :
- Academic Journal
- Accession number :
- 38522871
- Full Text :
- https://doi.org/10.1053/j.pcsu.2024.01.004