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Reemplazo valvular aórtico utilizando la cirugía de Ross: 13 años de experiencia;
Aortic Valve Replacement Using the Ross Procedure: a 13-Year Experience

Creators:Roura, Pablo; Servicio de Cirugía Cardiovascular - Fundación Favaloro, Hospital Universitario, Salvatori, Carolina, Lopez, Claudio, Guevara, Eduardo, Rodriguez Correa, Carlos, Favaloro, Roberto
2011-12-16

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RESUMENIntroducciónEl procedimiento de Ross para el tratamiento de la valvulopatía aórtica se ha utilizado durante décadas. A pesar de sus resultados alentadores, ciertos interrogantes han limitado su uso masivo; su durabilidad es uno de los principales motivos de preocupación.ObjetivoAnalizar los resultados de la cirugía de Ross en nuestro centro.Material y métodosEl presente es un estudio de cohorte retrospectivo. De julio de 1995 a mayo de 2008, 198 pacientes fueron sometidos a cirugía de Ross; en todos ellos se empleó la técnica de reemplazo de la raíz aórtica. Los eventos asociados con la válvula se analizaron con el método de Kaplan-Meier. Para el análisis de las variables se emplearon elResultados La edad media fue de 39 ± 13 años; el 77% eran hombres. La cirugía fue indicada por estenosis aórtica (58%) e insuficiencia aórtica (42%). La mortalidad hospitalaria fue del 2,5% (5 pacientes). El seguimiento a 10 años fue completo en el 93% para los primeros 165 pacientes. La sobrevida a los 10 años fue del 94,8% (IC 95% 89-98).

BackgroundThe Ross procedure has been used for decades for the treatment of aortic valve disease. Despite the promising outcomes of this technique, its limited durability is one of the major drawbacks against its massive indication. ObjectiveTo analyze the outcomes of the Ross procedure in our center.Material and MethodsWe conducted a retrospective study in a cohort of patients. From July 1995 to May 2008, 198 patients underwent Ross procedure with aortic root replacement technique. Kaplan-Meier method was used to analyze the events associated with the valve, and the variables were analyzed using the log-rank test and Cox model.ResultsMean age was 39±13 years and 77% were men. The procedure was indicated due to aortic stenosis (58%) and aortic regurgitation (42%). In-hospital mortality was 2.5% (5 patients). Complete follow-up at 10 years was achieved in 93% of the first 165 patients. Survival at 10 years was 94.8% (95% CI, 89-98) After 10 years, 95% (95% CI, 84-98) of patients did not present endocarditis and 91% (95% CI, 86-96) had no valve-related events. Five patients required reoperation, 4 due to autograft dysfunction and disease of other valves.ConclusionsRoss procedure has a low event rate after 13 years and should be considered for the treatment of aortic valve disease in selected patients.

Metadatos destacados

Colecciones
Argentine Journal of Cardiology

Editor

Sociedad Argentina de Cardiología

Fuente

Revista Argentina de Cardiología; Vol 78, No 6 (2010); 485-491, Argentine Journal of Cardiology; Vol 78, No 6 (2010); 485-491

Citación

Roura, Pablo; Servicio de Cirugía Cardiovascular - Fundación Favaloro, Hospital Universitario et al., “Reemplazo valvular aórtico utilizando la cirugía de Ross: 13 años de experiencia,” Archivo PPCT, consulta 1 de abril de 2026, http://archivoppct.caicyt.gov.ar/items/show/8004.

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Materia

Autor

Roura, Pablo; Servicio de Cirugía Cardiovascular - Fundación Favaloro, Hospital Universitario
Salvatori, Carolina
Lopez, Claudio
Guevara, Eduardo
Rodriguez Correa, Carlos
Favaloro, Roberto

Fuente

Revista Argentina de Cardiología; Vol 78, No 6 (2010); 485-491
Argentine Journal of Cardiology; Vol 78, No 6 (2010); 485-491

Editor

Sociedad Argentina de Cardiología

Fecha

2011-12-16

Derechos

Los que firman al pié, certificamos que tenemos total responsabilidad por la conducción de este estudio y por el diseño y la interpretación de los datos. Nosotros escribimos el manuscrito y somos responsables por la decisión acerca del mismo. Cada uno de nosotros cumple la definición de autor como se afirma en el Comité Internacional de Editores de Revistas Médicas (International Committee of Medical Journal Editors, ver www.icmje.org). Nosotros hemos visto y aprobado el manuscrito final. Ni el artículo, ni ninguna parte esencial del mismo, incluido las tablas y las figuras, será publicado o admitido para arbitrar a otra parte antes de aparecer en la Revista.También notificamos haber leído la sección “conflicto de intereses”, y revelaríamos cualquiera que existiera. Dejamos constancia que si nuestro artículo se publicara en la RAC, cederíamos los derechos (copyright) a la Revista.Los documentos publicados en esta revista están bajo la licencia Creative Commons Atribución-NoComercial-Compartir-Igual 2.5 Argentina.
Those signing below certify that we have full responsibility for the conduction of this study and for the design and interpretation of the information. We wrote the manuscript and are responsible for its decision. Each of us fulfills the definition of authorship as stated by the International Committee of Medical Journal Editors ( www.icmje.org). We have signed and approved the final manuscript. Neither the manuscript, nor any essential part thereof, including tables and figures, will be published or accepted for refereeing elsewhere before being published in the Journal. We have also read the "Conflict of Interest" section and would disclose any existing. We state that if our manuscript is published in the RAC, we shall transfer the copyright to the Journal.

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spa
eng

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info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion