Evidence map›Paper›PMID 40309693›Full record

ArticleJTCVS open2025

Surgical outcomes of the reinforced Ross procedure in the pediatric population.

Markian M Bojko, Neelesh Bagrodia, Luke Wiggins, Chace Mitchell, John D Cleveland, David C Cleveland, Vaughn A Starnes

Abstract read
In one paragraph

Article in JTCVS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Markian M BojkoDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.
Neelesh BagrodiaDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.
Luke WigginsDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.
Chace MitchellDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.
John D ClevelandDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.
David C ClevelandDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.
Vaughn A StarnesDivision of Cardiac Surgery, Department of Surgery, Heart Institute, Children's Hospital of Los Angeles, Los Angeles, Calif.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: External reinforcement of the Ross autograft is well described in adults. However, this technique is poorly studied in pediatric patients, and indications are not strictly defined. We aim to describe our institutions experience with external Ross reinforcement in pediatric patients. Methods: Between 2008 and 2023, 43 patients (≤18 years) underwent the Ross procedure with external Dacron graft reinforcement. Baseline characteristics, echocardiographic measurements, and postoperative outcomes were analyzed. The median [range] follow-up (years) was 2.01 [0.13-14.94] in children <13 years and 1.31 [0.05-11.57] in adolescents 13-18 years ( Results: The median age [range] was 14 years [5-18], median weight was 56 kg [19-142], and the median body surface area was 1.6 m Conclusions: With careful patient selection, external Ross reinforcement can be performed in the pediatric population and achieves acceptable postoperative valve hemodynamics, survival, and freedom from reintervention.

Indexed as

autograft inclusionautograft reinforcementautograft stabilizationpediatric RossRoss procedurewrap technique

Identifiers

PMID40309693
PMCPMC12039417

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.