Abstract
Aortic stenosis and aortic insufficiency in young children present multiple challenges to the patient, family, and surgeon. Mechanical valves require anticoagulation therapy, which is a poor option in active youngsters and noncompliant adolescents. Aortic valvuloplasty and the various forms of the Ross/Ross-Konno operations appear to be good solutions in this patient population due to valve preservation for the former and autograft growth for the latter. However, valvuloplasty failure and autograft dilatation have developed in some patients. In addition, heart block remains a problem in those patients who require an annular enlarging operation. We review our experience with the various forms of valvuloplasty, Ross operation, Konno operation, Ross-Konno operation, and the modified Ross-Konno operation, which we have used to eliminate heart block in patients who require an annular enlarging operation.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 76-86 |
| Number of pages | 11 |
| Journal | Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual |
| Volume | 12 |
| Issue number | 1 |
| DOIs | |
| State | Published - Apr 6 2009 |
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Keywords
- Annular enlargement
- Autograft dilatation
- Konno-Rastan procedure
- Ross operation
- Ross-Konno procedure
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health
- Surgery
- Cardiology and Cardiovascular Medicine
Cite this
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Aortic Stenosis and Aortic Insufficiency in Children : Impact of Valvuloplasty and Modified Ross-Konno Procedure. / Mavroudis, Constantine; Backer, Carl L; Kaushal, Sunjay.
In: Seminars in Thoracic and Cardiovascular Surgery: Pediatric Cardiac Surgery Annual, Vol. 12, No. 1, 06.04.2009, p. 76-86.Research output: Contribution to journal › Article
TY - JOUR
T1 - Aortic Stenosis and Aortic Insufficiency in Children
T2 - Impact of Valvuloplasty and Modified Ross-Konno Procedure
AU - Mavroudis, Constantine
AU - Backer, Carl L
AU - Kaushal, Sunjay
PY - 2009/4/6
Y1 - 2009/4/6
N2 - Aortic stenosis and aortic insufficiency in young children present multiple challenges to the patient, family, and surgeon. Mechanical valves require anticoagulation therapy, which is a poor option in active youngsters and noncompliant adolescents. Aortic valvuloplasty and the various forms of the Ross/Ross-Konno operations appear to be good solutions in this patient population due to valve preservation for the former and autograft growth for the latter. However, valvuloplasty failure and autograft dilatation have developed in some patients. In addition, heart block remains a problem in those patients who require an annular enlarging operation. We review our experience with the various forms of valvuloplasty, Ross operation, Konno operation, Ross-Konno operation, and the modified Ross-Konno operation, which we have used to eliminate heart block in patients who require an annular enlarging operation.
AB - Aortic stenosis and aortic insufficiency in young children present multiple challenges to the patient, family, and surgeon. Mechanical valves require anticoagulation therapy, which is a poor option in active youngsters and noncompliant adolescents. Aortic valvuloplasty and the various forms of the Ross/Ross-Konno operations appear to be good solutions in this patient population due to valve preservation for the former and autograft growth for the latter. However, valvuloplasty failure and autograft dilatation have developed in some patients. In addition, heart block remains a problem in those patients who require an annular enlarging operation. We review our experience with the various forms of valvuloplasty, Ross operation, Konno operation, Ross-Konno operation, and the modified Ross-Konno operation, which we have used to eliminate heart block in patients who require an annular enlarging operation.
KW - Annular enlargement
KW - Autograft dilatation
KW - Konno-Rastan procedure
KW - Ross operation
KW - Ross-Konno procedure
UR - http://www.scopus.com/inward/record.url?scp=63449087897&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=63449087897&partnerID=8YFLogxK
U2 - 10.1053/j.pcsu.2009.01.008
DO - 10.1053/j.pcsu.2009.01.008
M3 - Article
C2 - 19349019
AN - SCOPUS:63449087897
VL - 12
SP - 76
EP - 86
JO - Pediatric Cardiac Surgery Annual
JF - Pediatric Cardiac Surgery Annual
SN - 1092-9126
IS - 1
ER -