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September 18, 2001Circulation

Time Course of Aortic Valve Function and Root Dimensions After Subcoronary Ross Procedure for Bicuspid Versus Tricuspid Aortic Valve Disease

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Why the study?

Does the subcoronary Ross procedure result in different valve function and root dimensions in patients with bicuspid versus tricuspid aortic valve disease?

Population

82 patients who underwent subcoronary Ross procedure between June 1994 and August 1998, including 31 with…

Comparison

Subcoronary Ross procedure for congenital… vs Subcoronary Ross procedure for acquired…

Design

Cohort

Follow-up

up to 5.5 years

Authors

CSClaudia SchmidtkeInterventional / Structural CardiologyMBMatthias BechtelBG University Hospital Bergmannsheil BochumMHMichael HueppeUniversity of Würzburg

Discussion

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Implication

Supports comparable mid-term outcomes with subcoronary Ross in bicuspid disease; leaves open need for randomized long-term confirmation.

Structured PICO

Does the subcoronary Ross procedure result in different valve function and root dimensions in patients with bicuspid versus tricuspid aortic valve disease?

P
Population
82 patients who underwent subcoronary Ross procedure between June 1994 and August 1998, including 31 with congenital bicuspid aortic valve disease (mean age 50.5) and 51 with acquired tricuspid aortic valve disease (mean age 48.1).
I
Intervention
Subcoronary Ross procedure (pulmonary autograft) for congenital bicuspid aortic valve disease
C
Comparator
Subcoronary Ross procedure for acquired tricuspid aortic valve disease
O
Outcome
Time course of valve function (pressure gradients, aortic insufficiency) and root dimensions assessed by echocardiographysurrogate

The subcoronary Ross procedure provides excellent valve function and stable root dimensions in patients with bicuspid aortic valve disease, comparable to those with tricuspid aortic valve disease up to 5.5 years postoperatively.

Cite This Study

Schmidtke et al. (2001) studied this question.

synapsesocial.com/papers/6a7182e15671bbf00bc2e797https://doi.org/10.1161/hc37t1.094835
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Also Consider

Synapse has enriched 3 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Aortic Root Characteristics of Human Pulmonary Autografts2000 · 88 citations
  2. 2Pulmonary Autograft Procedure for Aortic Valve Disease1997 · 265 citations
  3. 3Clinical significance of the bicuspid aortic valve2000 · 807 citations