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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
- 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
- Subjects :
- medicine.medical_specialty
business.industry
Ross procedure
medicine.medical_treatment
Hemodynamics
Repeated measures design
medicine.disease
law.invention
Stenosis
Aortic valve repair
Aortic valve replacement
law
Internal medicine
parasitic diseases
medicine
Cardiology
Cardiopulmonary bypass
Ventricular outflow tract
Cardiology and Cardiovascular Medicine
business
Subjects
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