The Ross procedure provides excellent long-term survival matching the general population, with 80 to 90% of patients remaining free from reoperation after 15 years.
The Ross procedure remains a highly beneficial, albeit technically demanding, surgical option for young patients requiring aortic valve replacement.
Rossova operace je unikĂĄtnĂm chirurgickĂ˝m konceptem, kterĂ˝ ĹeĹĄĂ nereparabilnĂ postiĹženĂ aortĂĄlnĂ chlopnÄ jejĂ nĂĄhradou vlastnĂ chlopnĂ plicnice. VĂ˝tokovĂ˝ trakt pravĂŠ komory je po vytnutĂ plicnice rekonstruovĂĄn transplantacĂ pulmonĂĄlnĂho alograftu. PlicnicovĂĄ chlopeĹ v aortĂĄlnĂ pozici (pulmonĂĄlnĂ autograft) vysoce pĹedÄĂ jinĂŠ nĂĄhraĹžky svĂ˝mi hemodynamickĂ˝mi vlastnostmi, viabilitou se schopnostĂ rĹŻstu (u dÄtskĂ˝ch pacientĹŻ) a nĂzkĂ˝m rizikem tromboembolismu a infekÄnĂ endokarditidy. PĹes nespornĂŠ vĂ˝hody pulmonĂĄlnĂho autograftu vzbuzuje Rossova operace kontroverze a chirurgickĂ˝ respekt, protoĹže jde o technicky nĂĄroÄnĂ˝ vĂ˝kon, kterĂ˝ navĂc pĹedstavuje pro dalĹĄĂ chlopeĹ riziko komplikacĂ a pĹedpoklĂĄdanĂŠ reoperace. Renesance zĂĄjmu o Rossovu operaci je zpĹŻsobena zejmĂŠna poznĂĄnĂm kritickĂ˝ch krokĹŻ, standardizacĂ operace i znalostĂ dlouhodobĂ˝ch vĂ˝sledkĹŻ. Ve velkĂ˝ch sestavĂĄch nemocnĂ˝ch byly prokĂĄzĂĄny vĂ˝znamnĂŠ vĂ˝hody pro nemocnĂŠ v podobÄ vynikajĂcĂho pĹeĹžĂvĂĄnĂ, nĂzkĂŠ Äetnosti komplikacĂ a vysokĂŠ kvality Ĺživota. Pokud je Rossova operace provĂĄdÄna ve specializovanĂ˝ch centrech s dĹŻrazem na technickĂŠ detaily zajiĹĄĹĽujĂcĂ dlouhodobou stabilitu autograftu i alograftu, je atraktivnĂ alternativou zejmĂŠna pro mladĂŠ nemocnĂŠ s postiĹženĂm aortĂĄlnĂ chlopnÄ.
Vojáček et al. (Wed,) conducted a review in Aortic valve disease. Ross procedure vs. Conventional aortic valve replacement was evaluated. The Ross procedure provides excellent long-term survival matching the general population, with 80 to 90% of patients remaining free from reoperation after 15 years.
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