Autograft Stabilization for the Ross Procedure in Children

Q3 Medicine

Operative Techniques in Thoracic and Cardiovascular Surgery Pub Date : 2022-06-01 DOI:10.1053/j.optechstcvs.2022.01.001

Edward Buratto , Peter D. Skillington , Igor E. Konstantinov

引用次数: 4

Abstract

Aortic valve disease in children presents a considerable surgical challenge. When repair is not feasible, the Ross procedure represents the best option for replacement as it allows growth and does not require anticoagulation. However, there is a risk of progressive autograft dilatation, and eventual failure of the autograft with severe regurgitation. Autograft stabilization has proven beneficial in adults but has not been widely adopted in children undergoing the Ross procedure. We present a series of techniques for autograft stabilization which can be used at different stages of development, from infants to fully grown adolescents.

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自体植骨稳定在儿童Ross手术中的应用

儿童主动脉瓣疾病提出了相当大的手术挑战。当修复不可行时，Ross手术是替代的最佳选择，因为它允许生长并且不需要抗凝。然而，存在自体移植物进行性扩张的风险，并最终导致严重反流的自体移植物失败。自体移植物稳定已被证明对成人有益，但尚未广泛应用于接受Ross手术的儿童。我们提出了一系列可用于不同发育阶段的自体移植物稳定技术，从婴儿到完全成年的青少年。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Techniques in Thoracic and Cardiovascular Surgery Medicine-Surgery

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Operative Techniques in Thoracic and Cardiovascular Surgery provides richly illustrated articles on techniques in thoracic and cardiovascular surgery written by renowned surgeons. Each issue presents cardiothoracic topics in adult cardiac, congenital, and general thoracic surgery. Each specialty of interest to the thoracic and cardiovascular surgeon is explored through two different approaches to a specific surgical challenge. Each article is thoroughly illustrated with original line drawings, actual intraoperative photos, and supporting tables and graphs.