Evidence map›Paper›PMID 39377982›Full record

ArticleDeutsches Arzteblatt international2024

The Ross Operation in Young Patients—A Single-Center, Long-Term Follow-Up Study.

Markus Liebrich, Christoph Dingemann, Detlef Roser, Hartwig Schrimm, You-Shan Feng, Wolfgang Hemmer, Joerg Seeburger, Vladimir Voth

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Article in Deutsches Arzteblatt international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Markus LiebrichDepartment of Cardiac Surgery, Heart Center Stuttgart, Klinikum Stuttgart, Stuttgart, Germany; Institute for Clinical Epidemiology and Applied Biometrics, Medical University of Tübingen, Tübingen, Germany.
Christoph Dingemann
Detlef Roser
Hartwig Schrimm
You-Shan Feng
Wolfgang Hemmer
Joerg Seeburger
Vladimir Voth

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe standard aortic valve replacement operations in young patients are bioprosthetic or mechanical aortic valve replacement. In this study, we present the long-term results of the Ross operation in young patients.

methodsThe Ross operation with root replacement was performed on 795 patients between 1995 and 2020. The endpoints were overall survival, re-operation/reintervention rates on the autograft and homograft/RV-PA conduit (RV, right ventricle; PA, pulmonary artery), and the occurrence of serious adverse events.

results795 patients (75% male, 25% female; mean age 43 ± 14 years) underwent the Ross operation with root replacement. The 30-day mortality was 1% (8 patients) with a 95% confidence interval of [0.48; 1.9]. The follow-up was 96 % complete and covered 9540 patient-years, with a mean follow-up time of 12 ± 7 years. The survival rates at 5, 10, 15 and 20 years were 97% [96; 98], 96% [93; 96], 92% [89; 94] and 86% [83; 90]. The rate of autograft survival without reoperation was 94% [92; 96] at 10 years and 80% [76; 85] at 20 years. The rate of homograft/RV-PA conduit survival without reoperation was 95% [93; 97] at 10 years and 85% [81; 90] at 20 years. There were 5 cases of hemorrhage, 14 of thromboembolic complications or apoplexy, and 19 of endocarditis.

conclusionThe Ross operation with root replacement was associated with high survival rates over 25 years of follow-up. The rates of reoperation and reintervention, the morbidity and mortality, and the rate of endocarditis are low. The Ross operation is thus an effective surgical treatment option for young patients with aortic valve disease.

Indexed as

Aortic ValveHeart Valve Prosthesis ImplantationAdolescentAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedPostoperative ComplicationsReoperationTreatment OutcomeYoung Adult

Identifiers

PMID39377982
PMCPMC12036116

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