Why the study?
Can all valves be safely repaired or replaced during autograft valve-sparing root replacement in patients with late Ross failure and multi-valve dysfunction?
Can all valves be safely repaired or replaced during autograft valve-sparing root replacement in patients with late Ross failure and multi-valve dysfunction?
Coexistent multi-valve dysfunction and autograft leaflet prolapse should not preclude salvage of the autograft valve during reoperation for late Ross failure.
May support autograft salvage in complex late Ross failure; leaves open confirmation in larger series.
Approximately 25% of patients require reoperation within 15 yrs of a Ross procedure. Increasing experience with valve-sparing root replacement (VSRR) has led some surgeons to spare the autograft valve. Here, we demonstrate that all valves can be surgically repaired or replaced safely during autograft VSRR. As more patients are considered for this operation, coexistent mitral, tricuspid, and pulmonic valve dysfunction should not preclude salvage of the autograft valve, nor should autograft leaflet prolapse.
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Goldstone et al. (2017) studied this question.
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