Long-term outcomes of the Ross procedure in adults with severe aortic stenosis: single-centre experience with 20 years of follow-up†
Population
221 adult patients with predominant severe aortic stenosis. The cohort included 169 patients with bicuspid…
Design
Cohort
Follow-up
median 11.4 years (range: 1-20.1 years); mean 10.1±5.9 years
Authors
Discussion
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Member takes
Implication
Supports Ross consideration in young adults with aortic stenosis; randomized trials needed to confirm comparative effectiveness.
Structured PICO
P
Population
221 adult patients (aged 18 years and above, mean age 40.3±10.6) with predominant severe aortic stenosis (AS). The cohort included 169 patients with bicuspid valves and 33 redo operations.
I
Intervention
Elective Ross procedure (performed via aortic root replacement in 86% or subcoronary technique in 14%)
O
Outcome
Long-term survival, freedom from reoperation for autograft and/or homograft failure, and freedom from autograft valve insufficiencyhard clinical
The Ross procedure provides excellent long-term survival and freedom from reoperation for young adults with severe aortic stenosis seeking a durable option without anticoagulation.
Cite This Study
Kalfa et al. (2014) studied this question.