The Ross Operation in Children and Young Adults: 12-Year Results and Trends From the UK National Database

Carlo Zebele, Pierpaolo Chivasso, Christo Sedmakov, Gianni Angelini, Massimo Caputo, Andrew Parry, Serban Stoica

Research output: Contribution to journalArticle (Academic Journal)

Abstract

OBJECTIVES: To determine UK national trends and results of the Ross operation in relation to all aortic valve interventions.

METHODS: Examination of the UK Congenital Central Cardiac Audit Database for all aortic valve procedures performed between 2000 and 2011 in children (0-16 years) and young adults (16-30 years).

RESULTS: A total of 2,206 aortic valve procedures were performed in children and 1,824 in young adults, the proportions in the two groups being: Ross operation (19% vs 15%, respectively), surgical valvoplasty (9.5% vs 4%), surgical valvotomy (9.5% vs 1%), aortic valve replacement (AVR; 11% vs 55%), aortic root replacement (4% vs 18%), and balloon valvoplasty (47% vs 7%). The 30-day and 1-year survival after Ross is 99.3% and 98.7%, respectively, in the last four years achieving 100%. In children, the proportion of balloon valvoplasty increased from an average of 43% in 2000 to 2006 to 53% in 2007 to 2011, whereas the Ross operation decreased from 22% to 16% (P < .001). In young adults, the figures are an increase from 49% to 58% for AVR compared to a decrease from 23% to 9% for Ross (P < .001). Our own single-center series of 91 patients also shows standard results for early- and long-term survival and freedom from reoperation, but gradually fewer Ross operations performed. The year-on-year changes show a significant decreasing trend locally and nationally.

CONCLUSIONS: Despite an excellent track record, the Ross operation is performed less frequently in the United Kingdom. This report is a first step in comparing treatment modalities at national level.

Original languageEnglish
Pages (from-to)406-12
Number of pages7
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume5
Issue number3
DOIs
Publication statusPublished - Jul 2014

Bibliographical note

© The Author(s) 2014.

Structured keywords

  • Centre for Surgical Research

Keywords

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Forecasting
  • Heart Valve Diseases/surgery
  • Heart Valve Prosthesis Implantation/trends
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Registries
  • Second-Look Surgery/methods
  • United Kingdom
  • Young Adult

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