Does the Ross procedure improve long-term outcomes compared to mechanical aortic valve replacement in young and middle-aged adults?
Young and middle-aged adults undergoing aortic valve replacement (AVR)
Ross procedure
Mechanical aortic valve replacement (AVR)
Long-term survival and freedom from reinterventionhard clinical
The Ross procedure offers comparable long-term survival to mechanical AVR but with significantly lower risks of cardiac mortality, stroke, and major bleeding, making it an excellent option for young and middle-aged adults.
Long-term survival and freedom from reintervention were comparable between the Ross procedure and mechanical AVR. However, the Ross procedure was associated with improved freedom from cardiac- and valve-related mortality and a significant reduction in the incidence of stroke and major bleeding. In specialized centers, the Ross procedure represents an excellent option and should be considered for young and middle-aged adults undergoing AVR.
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Amine Mazine
Tirone E. David
Vivek Rao
Circulation
Toronto General Hospital
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Mazine et al. (Sat,) studied this question.
www.synapsesocial.com/papers/69df178fd85e58e37b7a1338 — DOI: https://doi.org/10.1161/circulationaha.116.022800