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PRIMARY ROSS OPERATION MAY BE PREFERABLE TO ATTEMPTS AT AORTIC VALVE REPAIR IN OLDER CHILDREN WITH PRIMARY AORTIC INSUFFICIENCY

PRIMARY ROSS OPERATION MAY BE PREFERABLE TO ATTEMPTS AT AORTIC VALVE REPAIR IN OLDER CHILDREN WITH PRIMARY AORTIC INSUFFICIENCY

Authors :
G.S. Van Arsdell
Christopher A. Caldarone
E.J. Hickey
Mohammed Al-Jughiman
Travis J. Wilder
E. Pham-Hung
M. Gritti
Source :
Canadian Journal of Cardiology. 30:S173
Publication Year :
2014
Publisher :
Elsevier BV, 2014.

Abstract

BACKGROUND: In older children with severe aortic insufficiency (AI), a strategy of aortic valve REPAIR is often pursued in order to delay ROSS procedure or aortic valve replacement with a mechanical/bioprosthetic device (AVR). We aimed to test this strategy of valve REPAIR by evaluating its durability. METHODS: From 2001-2012, 90 children with severe AI underwent: REPAIR (N1⁄446, 51%), ROSS (N1⁄421, 23%) or AVR (N1⁄423, 26%). Repeated measures (N1⁄41081 echos) mixed model analysis were used to evaluate haemodynamic outcomes. RESULTS: Mean age at operation was identical for REPAIR and ROSS (11 years), but slightly older for AVR (13 years). Annular dimensions were largest for REPAIR versus either AVR or ROSS (P1⁄4.01, figure). Cardiopulmonary bypass times were significantly shorter for REPAIRS versus either ROSS or AVR (figure, P

Details

ISSN :
0828282X and 20012012
Volume :
30
Database :
OpenAIRE
Journal :
Canadian Journal of Cardiology
Accession number :
edsair.doi...........04159fe3620d636af7707b1a2753f13b
Full Text :
https://doi.org/10.1016/j.cjca.2014.07.269