Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study
Introduction. Aortic valve replacement with pulmonary autograft (Ross procedure) demonstrated excellent immediate and long-term results. Dilation of the pulmonary autograft in the long-term period is the main reason for repeated surgery. Aim: to study the prevalence of pulmonary autograft dilatation...
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Bashkir State Medical University
2023-07-01
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| Series: | Креативная хирургия и онкология |
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| Online Access: | https://www.surgonco.ru/jour/article/view/806 |
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| author | I. I. Chernov S. T. Enginoev S. S. Ekimov T. K. Rashidova U. K. Abdulmedzhidova M. A. Guliyev A. A. Ziankou A. B. Gamzaev |
| author_facet | I. I. Chernov S. T. Enginoev S. S. Ekimov T. K. Rashidova U. K. Abdulmedzhidova M. A. Guliyev A. A. Ziankou A. B. Gamzaev |
| author_sort | I. I. Chernov |
| collection | DOAJ |
| description | Introduction. Aortic valve replacement with pulmonary autograft (Ross procedure) demonstrated excellent immediate and long-term results. Dilation of the pulmonary autograft in the long-term period is the main reason for repeated surgery. Aim: to study the prevalence of pulmonary autograft dilatation and its risk factors. Materials and methods. From April 2009 to December 2022, 158 patients underwent classical Ross surgery. Inclusion criteria: patients aged 18 and older, patients who underwent classical surgery. Exclusion criteria: patients under 18, modifi ed methods of Ross procedure. Follow-up period: 104 (49–124) months. Results and discussion. The median age of patients was 33 (25–43) years. Hospital mortality accounted for 0.6 %. Perioperative myocardial injury was 3.8 %, conduction disorder requiring permanent pacemaker implantation accounted for 1.9 %, the incidence of strokes and acute kidney injury requiring hemodialysis was 0.6 %. Ten-year freedom from autograft reoperation was 88.4. Ten-year freedom from reoperation for aortic aneurysm accounted for 92 %. Predictors of autograft dilatation in the long-term period were: age (OR: 0.942; 95% CI: 0.901–0.984, p = 0.008) and the initial size of sinuses of Valsalva (OR: 1.18; 95% CI: 1.027–1.215, p = 0.01). Conclusion. Ten-year freedom from autograft reoperation due to aortic dilatation and freedom from aortic dilatation ≥ 45 mm was 92 % and 37.2 %, respectively. The main predictors of autograft dilatation in the postoperative period are the age and the initial diameter of the sinuses of Valsalva. |
| format | Article |
| id | doaj-art-7600149b6b5d4a83b45fbe2b143da11d |
| institution | DOAJ |
| issn | 2076-3093 2307-0501 |
| language | English |
| publishDate | 2023-07-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj-art-7600149b6b5d4a83b45fbe2b143da11d2025-08-20T02:53:30ZengBashkir State Medical UniversityКреативная хирургия и онкология2076-30932307-05012023-07-0113210511110.24060/2076-3093-2023-13-2-105-111522Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center StudyI. I. Chernov0S. T. Enginoev1S. S. Ekimov2T. K. Rashidova3U. K. Abdulmedzhidova4M. A. Guliyev5A. A. Ziankou6A. B. Gamzaev7Federal Center for Cardiovascular SurgeryFederal Center for Cardiovascular Surgery; Astrakhan State Medical UniversityFederal Center for Cardiovascular SurgeryFederal Center for Cardiovascular SurgeryAstrakhan State Medical UniversityAstrakhan State Medical UniversityFederal Center for Cardiovascular SurgeryPrivolzhsky Research Medical UniversityIntroduction. Aortic valve replacement with pulmonary autograft (Ross procedure) demonstrated excellent immediate and long-term results. Dilation of the pulmonary autograft in the long-term period is the main reason for repeated surgery. Aim: to study the prevalence of pulmonary autograft dilatation and its risk factors. Materials and methods. From April 2009 to December 2022, 158 patients underwent classical Ross surgery. Inclusion criteria: patients aged 18 and older, patients who underwent classical surgery. Exclusion criteria: patients under 18, modifi ed methods of Ross procedure. Follow-up period: 104 (49–124) months. Results and discussion. The median age of patients was 33 (25–43) years. Hospital mortality accounted for 0.6 %. Perioperative myocardial injury was 3.8 %, conduction disorder requiring permanent pacemaker implantation accounted for 1.9 %, the incidence of strokes and acute kidney injury requiring hemodialysis was 0.6 %. Ten-year freedom from autograft reoperation was 88.4. Ten-year freedom from reoperation for aortic aneurysm accounted for 92 %. Predictors of autograft dilatation in the long-term period were: age (OR: 0.942; 95% CI: 0.901–0.984, p = 0.008) and the initial size of sinuses of Valsalva (OR: 1.18; 95% CI: 1.027–1.215, p = 0.01). Conclusion. Ten-year freedom from autograft reoperation due to aortic dilatation and freedom from aortic dilatation ≥ 45 mm was 92 % and 37.2 %, respectively. The main predictors of autograft dilatation in the postoperative period are the age and the initial diameter of the sinuses of Valsalva.https://www.surgonco.ru/jour/article/view/806ross procedureaortavalve replacementaortic valvepulmonary autograftaortic dilatationsinus of valsalvarisk factors |
| spellingShingle | I. I. Chernov S. T. Enginoev S. S. Ekimov T. K. Rashidova U. K. Abdulmedzhidova M. A. Guliyev A. A. Ziankou A. B. Gamzaev Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study Креативная хирургия и онкология ross procedure aorta valve replacement aortic valve pulmonary autograft aortic dilatation sinus of valsalva risk factors |
| title | Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study |
| title_full | Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study |
| title_fullStr | Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study |
| title_full_unstemmed | Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study |
| title_short | Pulmonary Autograft Dilatation and its Risk Factors After Classical Ross Procedure: a Retrospective Single Center Study |
| title_sort | pulmonary autograft dilatation and its risk factors after classical ross procedure a retrospective single center study |
| topic | ross procedure aorta valve replacement aortic valve pulmonary autograft aortic dilatation sinus of valsalva risk factors |
| url | https://www.surgonco.ru/jour/article/view/806 |
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