Age-related reoperation rate after the Ross procedure: a report from the German Ross Registry
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Age-related reoperation rate after the Ross procedure: a report from the German Ross Registry. / Richardt, Doreen; Hemmer, Wolfgang; Moritz, Anton; Hetzer, Roland; Gorski, Armin; Franke, Ulrich F W; Hörer, Jürgen; Lange, Rüdiger; Sachweh, Jörg S; Riso, Arlindo; Dodge-Khatami, Ali; Hübler, Michael; Charitos, Efstratios I; Stierle, Ulrich; Sievers, Hans-Hinrich.
In: J HEART VALVE DIS, Vol. 24, No. 2, 03.2015, p. 220-227.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - Age-related reoperation rate after the Ross procedure: a report from the German Ross Registry
AU - Richardt, Doreen
AU - Hemmer, Wolfgang
AU - Moritz, Anton
AU - Hetzer, Roland
AU - Gorski, Armin
AU - Franke, Ulrich F W
AU - Hörer, Jürgen
AU - Lange, Rüdiger
AU - Sachweh, Jörg S
AU - Riso, Arlindo
AU - Dodge-Khatami, Ali
AU - Hübler, Michael
AU - Charitos, Efstratios I
AU - Stierle, Ulrich
AU - Sievers, Hans-Hinrich
PY - 2015/3
Y1 - 2015/3
N2 - BACKGROUND AND AIM OF THE STUDY: An increasing number of young adult patients are choosing bioprostheses for aortic valve replacement (AVR). In this context, the Ross operation deserves renewed consideration as an alternative biological substitute. After both the Ross procedure and bioprosthetic AVR, reoperation rates remain a concern and may be related to age at surgery. Herein are reported details of freedom from reoperation after the Ross procedure for different age groups.METHODS: The reoperation rates of 1,925 patients (1,444 males, 481 females; mean age 41.2 ± 15.3 years) from the German Ross registry with a mean follow up of 7.4 ± 4.7 years (range: 0.00-18.51 years; total 12,866.6 patient-years) were allocated to three age groups: group I < 40 years; group II 40-60 years; and group III > 60 years.RESULTS: At 10 years (respectively 15 years) of follow up, freedom from reoperation was 86% (76%) in group I, 93% (85%) in group II, and 89% (83%) in group III.CONCLUSION: There is some evidence that, at least during the first 10 and 15 years after AVR, the Ross procedure provides a significantly lower reoperation rate in young adult and middle-aged patients aged < 60 years. This information may be of interest to the patients' or physicians' decision-making for aortic valve surgery.
AB - BACKGROUND AND AIM OF THE STUDY: An increasing number of young adult patients are choosing bioprostheses for aortic valve replacement (AVR). In this context, the Ross operation deserves renewed consideration as an alternative biological substitute. After both the Ross procedure and bioprosthetic AVR, reoperation rates remain a concern and may be related to age at surgery. Herein are reported details of freedom from reoperation after the Ross procedure for different age groups.METHODS: The reoperation rates of 1,925 patients (1,444 males, 481 females; mean age 41.2 ± 15.3 years) from the German Ross registry with a mean follow up of 7.4 ± 4.7 years (range: 0.00-18.51 years; total 12,866.6 patient-years) were allocated to three age groups: group I < 40 years; group II 40-60 years; and group III > 60 years.RESULTS: At 10 years (respectively 15 years) of follow up, freedom from reoperation was 86% (76%) in group I, 93% (85%) in group II, and 89% (83%) in group III.CONCLUSION: There is some evidence that, at least during the first 10 and 15 years after AVR, the Ross procedure provides a significantly lower reoperation rate in young adult and middle-aged patients aged < 60 years. This information may be of interest to the patients' or physicians' decision-making for aortic valve surgery.
KW - Adult
KW - Bioprosthesis
KW - Cardiac Surgical Procedures
KW - Female
KW - Germany
KW - Heart Valve Diseases/physiopathology
KW - Humans
KW - Male
KW - Middle Aged
KW - Registries
KW - Reoperation/statistics & numerical data
KW - Young Adult
M3 - SCORING: Journal article
C2 - 26204690
VL - 24
SP - 220
EP - 227
IS - 2
ER -
