Strategies to Minimise Need for Prosthetic Aortic Valve Replacement in Congenital Aortic Stenosis – Value of the Ross Procedure

To examine the role and outcomes of all interventions for aortic stenosis in children, with focus on freedom from reintervention and the aim to minimise prosthetic aortic valve replacement (pAVR) during childhood. Retrospective analysis of 194 consecutive children who underwent any aortic valve intervention for a biventricular repair strategy at a single institution between 1995-2017. Data were obtained from hospital records and follow-up was 100% complete. Over a 22-year period, 194 children underwent total 313 aortic valve procedures: Primary interventions were surgical valvotomy (SV)/surgical repair (SR) in 94 (48.5%), balloon valvuloplasty (BV) in 60 (30.9%), pAVR in 8 (4.1%) and Ross/Ross-Konno procedure in 32 (16.5%).

Source: Seminars in Thoracic and Cardiovascular Surgery - February 12, 2020 Category: Cardiovascular & Thoracic Surgery Authors: Yaroslav Ivanov, Nigel E. Drury, John Stickley, Phil Botha, Natasha E. Khan, Timothy J. Jones, William J. Brawn, David J. Barron Tags: CONGENITAL – Original Submission Source Type: research