The modified Ross Reversal operation: a new approach for preserving the autograft wall

Interactive CardioVascular and Thoracic Surgery ◽

10.1093/icvts/ivz242 ◽

2019 ◽

Author(s):

Rihito Horikoshi ◽

Tadashi Kitamura ◽

Kagami Miyaji

Keyword(s):

Aortic Root ◽

Aortic Root Replacement ◽

New Approach ◽

Ross Operation ◽

Pulmonary Autograft ◽

Valve Function

Abstract The Ross Reversal operation is a breakthrough strategy first reported by Flynn et al. in 2007. In a reoperation for pulmonary autograft dysfunction after the Ross operation, an excised autograft can be preserved by reusing it in a native pulmonary position. We report a case wherein we used a new approach to excise the autograft valve with less invasion. The patient underwent a modified Ross Reversal operation concomitant with aortic root replacement and recovered without any complications. Our new approach enables a safer operation with improved valve function.

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Late Dissection of Pulmonary Autograft Treated by Valve-Sparing Aortic Root Replacement

Journal of Cardiac Surgery ◽

10.1111/j.1540-8191.2008.00764.x ◽

2009 ◽

Vol 24 (4) ◽

pp. 443-445 ◽

Cited By ~ 8

Author(s):

Rajesh Venkataraman ◽

Karthik R. Vaidyanathan ◽

Madhu N. Sankar ◽

Kotturathu M. Cherian

Keyword(s):

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft ◽

Valve Sparing

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Aortic root replacement with the pulmonary autograft: an invariably competent aortic valve?

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(99)00725-0 ◽

1999 ◽

Vol 68 (4) ◽

pp. 1302-1307 ◽

Cited By ~ 10

Author(s):

Karl M Dossche ◽

Aart Brutel de la Riviére ◽

Wim J Morshuis ◽

Marc A.A.M Schepens ◽

Sjef M Ernst ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft

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Pulmonary autograft failure after aortic root replacement in a patient with juvenile rheumatoid arthritis

European Journal of Cardio-Thoracic Surgery ◽

10.1016/1010-7940(92)90012-m ◽

1992 ◽

Vol 6 (10) ◽

pp. 571-572 ◽

Cited By ~ 15

Author(s):

R VANSUYLEN ◽

P SCHOOF ◽

E BOS ◽

O FROHNMULDER ◽

J DENHOLLANDER ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Juvenile Rheumatoid Arthritis ◽

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft

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Long-term follow-up of supra-annular pulmonary autograft aortic root replacement in patients with bicuspid aortic valve☆

European Journal of Cardio-Thoracic Surgery ◽

10.1016/j.ejcts.2008.05.056 ◽

2008 ◽

Vol 34 (3) ◽

pp. 583-588 ◽

Cited By ~ 5

Author(s):

Feyzan Özaslan ◽

Thomas Wittlinger ◽

Nadejna Monsefi ◽

Tamimount Bouhmidi ◽

Sinthu Theres ◽

...

Keyword(s):

Aortic Valve ◽

Bicuspid Aortic Valve ◽

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft ◽

Long Term Follow Up

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Prevention of neoaortic sinus dilatation after pulmonary autograft aortic root replacement

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2007-967575 ◽

2007 ◽

Vol 55 (S 1) ◽

Author(s):

F Özaslan ◽

S Andreas ◽

M Doss ◽

T Wittlinger ◽

A Miskovic ◽

...

Keyword(s):

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft

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Fifteen year follow up after pulmonary autograft aortic root replacement

The Thoracic and Cardiovascular Surgeon ◽

10.1055/s-2007-967319 ◽

2007 ◽

Vol 55 (S 1) ◽

Author(s):

F Özaslan ◽

S Andreas ◽

M Doss ◽

T Wittlinger ◽

T Aybek ◽

...

Keyword(s):

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft

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Extended aortic root replacement with pulmonary autograft

Cardiac Valve Allografts ◽

10.1007/978-3-642-59250-8_17 ◽

1997 ◽

pp. 171-178

Author(s):

W. Daenen

Keyword(s):

Aortic Root ◽

Aortic Root Replacement ◽

Pulmonary Autograft

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Abstract 4781: Rate of Progression and Functional Significance of Aortic Valve and Root Calcification Up To 8 Years Following Total Aortic Root Replacement Using a Homograft Versus Freestyle Prosthesis: Results From a Prospective Randomized Trial

Circulation ◽

10.1161/circ.118.suppl_18.s_942-b ◽

2008 ◽

Vol 118 (suppl_18) ◽

Author(s):

Ismail El-Hamamsy ◽

Mohamed Zaki ◽

Louis M Stevens ◽

Lucy Clark ◽

Michael Rubens ◽

...

Keyword(s):

Aortic Valve ◽

Aortic Root ◽

Functional Significance ◽

Aortic Root Replacement ◽

Electron Beam Computed Tomography ◽

Hounsfield Units ◽

Echocardiographic Evaluation ◽

High Calcium ◽

Rate Of Progression ◽

Valve Function

Introduction - Aortic root calcification is a major limitation following root replacement. The aims of this analysis were to compare the rate of progression of root calcification between homografts and xenografts (Medtronic Freestyle) up to 8 years postoperatively and to determine its functional significance. Methods - Between 1997 and 2003, 161 patients were prospectively randomized to undergo homograft (Group H) or Freestyle (Group F) total aortic root replacement. Of those, 99 patients underwent a total of 248 electron beam computed tomography (EBCT) studies at 0.5, 1, 1.5, 2, 3 and 8 years (n=17 patients at 8 years). Aortic root calcium scores were calculated using Agatston scores. Results - Mean calcium scores in Group H at 1, 2, 3 and 8 years were 550±95, 1026±160, 1440±256 and 3876±604 Hounsfield Units (HU), versus 397±84, 556±125, 683 ±151 and 2518±495 HU in Group F. Mixed effects models show higher calcium scores in Group H at 1, 2 and 3 years, with a trend at 8 years (p=0.11). Group H presents a significantly more rapid early rate of progression (slope from 0 to 3 years; p=0.02) and progress similarly to Group F thereafter (slope from 3 to 8 years; p=0.3) (Figure 1 ). Echocardiographic evaluation of patients at 8 years showed no correlation between EBCT scores and aortic valve dysfunction. Conclusion - Homograft roots have a higher propensity to calcifiy than Freestyle prostheses, which follows a time-dependent progression marked by rapid early calcification. Despite the high calcium scores, no correlation with prosthetic valve function was identified at 8 years.

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