活体罗斯手术——部分心脏移植的新范例。

IF 3.6 2区医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS

Annals of Thoracic Surgery Pub Date : 2025-05-26 DOI:10.1016/j.athoracsur.2025.04.039

Samuel Kesseli, Seth Em Wolf, Jacob N Schroder, Ziv Beckerman, Douglas M Overbey, Joseph W Turek

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引用次数: 0

摘要

在Ross手术中，同种移植物狭窄和反流限制了右心室至肺动脉（RV-PA）导管的使用寿命。部分心脏移植（PHT）促进导管生长贯穿儿童的一生。我们报告了一名患有先天性单尖瓣主动脉瓣的三岁儿童在Ross手术中应用pv - pa导管的PHT。自体肺移植物用于主动脉位置，从成人心脏移植受者的心脏切除术中取出的同种异体主动脉根移植物作为RV-PA导管。我们假设Ross，“活的Ross”，提高了RV-PA导管的使用寿命。

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The Living Ross Procedure - A New Paradigm in Partial Heart Transplantation.

In the Ross procedure, homograft stenosis and regurgitation have limited the longevity of the right ventricle-to-pulmonary artery (RV-PA) conduit. Partial heart transplantation (PHT) facilitates conduit growth throughout the life of the child. We report the application of PHT of the RV-PA conduit during a Ross procedure, "Living Ross", in a three-year old patient with a congenital unicuspid aortic valve. Pulmonary autograft was used in the aortic position, and an aortic root allograft from the cardiectomy of an adult heart transplant recipient served as the RV-PA conduit. We hypothesize that the Ross, "Living Ross", improves the longevity of the RV-PA conduit.

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来源期刊

Annals of Thoracic Surgery 医学-呼吸系统

CiteScore

6.40

自引率

13.00%

发文量

1235

审稿时长

42 days

期刊介绍： The mission of The Annals of Thoracic Surgery is to promote scholarship in cardiothoracic surgery patient care, clinical practice, research, education, and policy. As the official journal of two of the largest American associations in its specialty, this leading monthly enjoys outstanding editorial leadership and maintains rigorous selection standards. The Annals of Thoracic Surgery features: • Full-length original articles on clinical advances, current surgical methods, and controversial topics and techniques • New Technology articles • Case reports • "How-to-do-it" features • Reviews of current literature • Supplements on symposia • Commentary pieces and correspondence • CME • Online-only case reports, "how-to-do-its", and images in cardiothoracic surgery. An authoritative, clinically oriented, comprehensive resource, The Annals of Thoracic Surgery is committed to providing a place for all thoracic surgeons to relate experiences which will help improve patient care.