The Ross operation was performed significantly less frequently in the UK from 2000 to 2011, decreasing from 22% to 16% in children and 23% to 9% in young adults (P<0.001).
Observational (n=4,030)
Yes
What are the national trends and survival outcomes of the Ross operation compared to other aortic valve interventions in children and young adults?
Despite excellent early survival outcomes, the use of the Ross operation in children and young adults in the UK has significantly declined in favor of other interventions like balloon valvoplasty and aortic valve replacement.
p-value: p=<0.001
OBJECTIVES: To determine UK national trends and results of the Ross operation in relation to all aortic valve interventions. METHODS: Examination of the UK Congenital Central Cardiac Audit Database for all aortic valve procedures performed between 2000 and 2011 in children (0-16 years) and young adults (16-30 years). RESULTS: A total of 2,206 aortic valve procedures were performed in children and 1,824 in young adults, the proportions in the two groups being: Ross operation (19% vs 15%, respectively), surgical valvoplasty (9.5% vs 4%), surgical valvotomy (9.5% vs 1%), aortic valve replacement (AVR; 11% vs 55%), aortic root replacement (4% vs 18%), and balloon valvoplasty (47% vs 7%). The 30-day and 1-year survival after Ross is 99.3% and 98.7%, respectively, in the last four years achieving 100%. In children, the proportion of balloon valvoplasty increased from an average of 43% in 2000 to 2006 to 53% in 2007 to 2011, whereas the Ross operation decreased from 22% to 16% (P < .001). In young adults, the figures are an increase from 49% to 58% for AVR compared to a decrease from 23% to 9% for Ross (P < .001). Our own single-center series of 91 patients also shows standard results for early- and long-term survival and freedom from reoperation, but gradually fewer Ross operations performed. The year-on-year changes show a significant decreasing trend locally and nationally. CONCLUSIONS: Despite an excellent track record, the Ross operation is performed less frequently in the United Kingdom. This report is a first step in comparing treatment modalities at national level.
Zebele et al. (Mon,) conducted a observational in Aortic valve disease (n=4,030). Ross operation vs. Other aortic valve interventions was evaluated on Trends in the proportion of Ross operations performed (p=<0.001). The Ross operation was performed significantly less frequently in the UK from 2000 to 2011, decreasing from 22% to 16% in children and 23% to 9% in young adults (P<0.001).