Key result
The Ross procedure in pediatric patients demonstrated an early mortality of 2.1% and a long-term actuarial survival of 98.86%, with 97% freedom from reoperation at 5 years.
Cohort (n=114)
No
The Ross procedure in pediatric patients demonstrates low early and late mortality with excellent long-term survival, though it is associated with a high early complication rate and a 23.7% late reoperation rate primarily due to pulmonary conduit dysfunction.
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May support Ross in select pediatric cases; leaves open need for RCTs and conduit durability data.
The Ross procedure (RP) is considered by many authors as the best option for aortic valve replacement in young children and adolescents. This paper presents the results of the immediate and late postoperative period (more than 5 years) after the RP among pediatric patients.
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Lukyanov et al. (2015) conducted a cohort in Congenital aortic valve disease (n=114). Ross procedure vs. Aortic valve replacement (for reoperation comparison) was evaluated on Long-term actuarial survival. The Ross procedure in pediatric patients demonstrated an early mortality of 2.1% and a long-term actuarial survival of 98.86%, with 97% freedom from reoperation at 5 years.
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