Abstract
Dilatation of the pulmonary autograft is a problem described following Ross procedure for aortic valve replacement. Patients at risk seem to be those with aortic insufficiency, bicuspid aortic valves, and those with aneurismal ascending aortas. We describe a technique for encasing the pulmonary autograft in a Dacron tube to prevent dilatation in these patients. This technique is reproducible and includes sewing the coronary arteries to all layers of the autograft and Dacron construct. Short-term follow-up shows excellent outcomes with respect to autograft valve function and lack of annular or sinotubular dilatation. This procedure may be useful for extending the Ross procedure to young adults, where autograft growth is no longer needed, to provide a non-dilatable neoaortic root.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 181-184 |
| Number of pages | 4 |
| Journal | Pediatric Cardiac Surgery Annual |
| Volume | 8 |
| Issue number | 1 |
| DOIs | |
| State | Published - 2005 |
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Keywords
- Autograft dilatation
- Congenital heart disease
- Ross procedure
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Pediatrics, Perinatology, and Child Health
Cite this
Modification to the Ross procedure to prevent autograft dilatation. / Slater, Matthew; Shen, Irving; Welke, Karl; Komanapalli, Christopher; Ungerleider, Ross.
In: Pediatric Cardiac Surgery Annual, Vol. 8, No. 1, 2005, p. 181-184.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Modification to the Ross procedure to prevent autograft dilatation
AU - Slater, Matthew
AU - Shen, Irving
AU - Welke, Karl
AU - Komanapalli, Christopher
AU - Ungerleider, Ross
PY - 2005
Y1 - 2005
N2 - Dilatation of the pulmonary autograft is a problem described following Ross procedure for aortic valve replacement. Patients at risk seem to be those with aortic insufficiency, bicuspid aortic valves, and those with aneurismal ascending aortas. We describe a technique for encasing the pulmonary autograft in a Dacron tube to prevent dilatation in these patients. This technique is reproducible and includes sewing the coronary arteries to all layers of the autograft and Dacron construct. Short-term follow-up shows excellent outcomes with respect to autograft valve function and lack of annular or sinotubular dilatation. This procedure may be useful for extending the Ross procedure to young adults, where autograft growth is no longer needed, to provide a non-dilatable neoaortic root.
AB - Dilatation of the pulmonary autograft is a problem described following Ross procedure for aortic valve replacement. Patients at risk seem to be those with aortic insufficiency, bicuspid aortic valves, and those with aneurismal ascending aortas. We describe a technique for encasing the pulmonary autograft in a Dacron tube to prevent dilatation in these patients. This technique is reproducible and includes sewing the coronary arteries to all layers of the autograft and Dacron construct. Short-term follow-up shows excellent outcomes with respect to autograft valve function and lack of annular or sinotubular dilatation. This procedure may be useful for extending the Ross procedure to young adults, where autograft growth is no longer needed, to provide a non-dilatable neoaortic root.
KW - Autograft dilatation
KW - Congenital heart disease
KW - Ross procedure
UR - http://www.scopus.com/inward/record.url?scp=16344387749&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=16344387749&partnerID=8YFLogxK
U2 - 10.1053/j.pcsu.2005.01.022
DO - 10.1053/j.pcsu.2005.01.022
M3 - Article
C2 - 15818376
AN - SCOPUS:16344387749
VL - 8
SP - 181
EP - 184
JO - Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
JF - Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual
SN - 1092-9126
IS - 1
ER -