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[Experience on transplantation of auto-pulmonary graft treating with congenital aortic disease].

AbstractOBJECTIVE:
To summarize the experience on auto-pulmonary transplantation (Ross procedure) treating with congenital aortic disease.
METHODS:
From October 1994 to November 2003, 20 cases of Ross procedure were performed to treat with congenital aortic disease, Male: 15 cases; Female: 5 cases; age: 25 years;
DIAGNOSIS:
congenital heart disease (CHD), aortic abnormalities: 12 cases; aortic valve prolapse: 5 cases; aortic valve hypogenesis: 3 cases; combined with subacute bacterial endocarditis (SBE): 4 cases, and ventricle septal defect (VSD): 2 cases; UCG showed aortic stenosis(AS) and/or aortic insufficience (AI) (moderate to severe), Left ventricle diastole diameter (LVDD): (60.51 +/- 11.87) mm, the grade pressure across aortic valve: (27.04 +/- 6.80) mmHg, heart function (NYHA): Class II: 13 cases; Class III: 3 cases; all cases were performed under CPB and moderate hypothermia, the operation procedure was following: (1) taking off auto-pulmonary artery valve; (2) removing dysfunctional aortic valve and auto-transplantation of pulmonary valve on aortic root; (3) putting a pulmonary homograft to rebuild right ventricular outflow tract.
RESULTS:
The mortality was 0 during stay at hospital, aortic valve function were all normal, LVDD decreased significantly (t = 3.4007, P = 0.0008), the grade pressure across aortic valve was in normal limitation, (6.8 +/- 0.19) mmHg. Follow-up showed heart function was in Class I (NYHA), aortic and pulmonary valve function was very well.
CONCLUSION:
Ross procedure is a kind of effective alterative operation for treating with congenital aortic valve disease, with good short and middle term results.
AuthorsWen-bin Li, Jian-qun Zhang, Hai-bo Zhou, Sheng-xun Wang, Wei Liu, Ping Bo, Hui-li Gan, Bin Mao
JournalZhonghua wai ke za zhi [Chinese journal of surgery] (Zhonghua Wai Ke Za Zhi) Vol. 42 Issue 8 Pg. 455-7 (Apr 22 2004) ISSN: 0529-5815 [Print] China
PMID15144637 (Publication Type: English Abstract, Journal Article, Research Support, Non-U.S. Gov't)
Topics
  • Adolescent
  • Adult
  • Aortic Valve Insufficiency (surgery)
  • Aortic Valve Prolapse (surgery)
  • Aortic Valve Stenosis (surgery)
  • Child
  • Child, Preschool
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Pulmonary Valve (transplantation)
  • Transplantation, Autologous

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