Share this page on LinkedIn
Share This Page on Google+
Share This Page on Twitter
tell someone about this page print this page
You are here: Contents > 2015 > Volume 24 Number 3 May 2015 > AORTIC VALVE DISEASE > Results and Quality of Life after Minimally Invasive Ross Procedure

Results and Quality of Life after Minimally Invasive Ross Procedure

Ulrich F. W. Franke1, Adrian Ursulescu1, Nora Göbel1, Ragi Nagib1, Matthias Hansen1, Rashmi Yadav2, Hardy Baumbach1, Marc Albert1

1Robert Bosch Hospital, Stuttgart, Germany, 2Royal Brompton Hospital, London, UK

Background and aim of the study: Based on superior long-term results, an increasing interest in the Ross procedure for young adult patients can be observed. After the first publication of this challenging procedure through a minimally invasive access, this operation has become an alternative to conventional sternotomy at the authors’ department. This analysis compares the results and quality of life of the conventional and the minimally invasive Ross procedures.

Methods: By April 2013, a total of 136 patients had undergone the Ross procedure at the authors’ institution. Preoperative parameters did not differ between the conventional group (C-group; n = 58; mean age 49 years) and the minimally invasive group (M-group; n = 78; mean age 50 years). Only the aortic cross-clamp time was longer for the M-group (151 versus 140 min).

Results: One C-group patient died on the day of

operation. Consecutively, survival was 99% for the follow up period of 1,093 ± 601 days. Valve-related reoperations were necessary for four patients. One C-group patient developed a distal pulmonary stenosis due to fibrotic scar tissue. Two M- group patients showed fistulas after early endocarditis, but the native valves could be preserved in these cases. One C-group patient with recurrent severe aortic regurgitation showed holes in two of three cusps. The SF-36 questionnaire detected better physical parameters (physical function, physical role function) for patients after minimally invasive access.

Conclusion: The minimally invasive Ross procedure allows the same excellent clinical outcome as the conventional technique. However, the physical quality of life is better with the minimally invasive procedure, in addition to an improved cosmetic result.

The Journal of Heart Valve Disease 2015;24:295-301

Results and Quality of Life after Minimally Invasive Ross Procedure

Click the above hyperlink to view the article, right click (Ctrl click on a Mac) to open in a new browser window or tab.

Purchase this Article

Please click the button below to purchase this article. Single article purchases are provided at $50.00 per article. Upon clicking the button below, single article user account subscription details are requested and, upon successful payment, a single article user account is created. Single articles are availble in your account for seven days after purchase.