Why the study?
Free standing-root Ross procedure is prone to root dilation and autograft failure, prompting inclusion techniques that support the autograft externally to ensure longevity without coronary distortion.
Does the inclusion technique in the Ross procedure improve autograft longevity and prevent root dilation compared to free-standing root implantation in children and young adults?
Does the inclusion technique in the Ross procedure improve autograft longevity and prevent root dilation compared to free-standing root implantation in children and young adults?
The inclusion technique for the Ross procedure provides external support to the autograft within the native aortic root, potentially preventing root dilation and improving longevity.
May support inclusion technique for autograft stability in Ross; leaves open randomized data versus free-standing implantation.
The Ross procedure is superior as a valve substitute in children and early adulthood because of its clear survival benefits. The free standing-root implantation is associated with failure of the autograft and inclusion techniques that support externally the autograft warrants its longevity. The current technique consists in the implantation of the autograft within the native aortic root thereby both supporting the autograft and avoiding any coronary distortion. The Ross procedure is superior as a valve substitute in children and early adulthood because of its clear survival benefits. The free standing-root implantation is associated with failure of the autograft and inclusion techniques that support externally the autograft warrants its longevity. The current technique consists in the implantation of the autograft within the native aortic root thereby both supporting the autograft and avoiding any coronary distortion. Central MessageThe Ross procedure as free-standing root implantation is prone to significant root dilation and external support has been demonstrated to warrant longevity of the autograft. Supporting the autograft within the intact native aortic root is an easy and safe technique. The Ross procedure as free-standing root implantation is prone to significant root dilation and external support has been demonstrated to warrant longevity of the autograft. Supporting the autograft within the intact native aortic root is an easy and safe technique.
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Öztürk et al. (2022) studied this question.
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