The Ross Operation in Children and Young Adults: 12-Year Results and Trends From the UK National Database
The Ross Operation in Children and Young Adults: 12-Year Results and Trends From the UK National Database
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DOI：
10.1177/2150135114537532
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发表时间：
2014-07-01
影响因子：
0.9
通讯作者：
Stoica, Serban
中科院分区：
文献类型：
--
作者：
Zebele, Carlo;Chivasso, Pierpaolo;Stoica, Serban
目标：确定英国国家趋势和罗斯手术与所有主动脉瓣干预措施相关的结果。方法：检查英国先天性中央心脏审计数据库中 2000 年至 2011 年间针对儿童（0-16 岁）和年轻人（16-30 岁）进行的所有主动脉瓣手术。结果：儿童和青壮年共进行了 2,206 例主动脉瓣手术，两组比例分别为：Ross 手术（分别为 19% vs 15%）、外科瓣膜成形术（9.5% vs 4%）、外科瓣膜切开术（9.5% vs 1%）、主动脉瓣置换术（AVR；11% vs 55%）、主动脉根部置换术（4% vs 18%）和球囊瓣膜成形术（47% vs 7%）。罗斯术后30天和1年生存率分别为99.3%和98.7%，近四年达到100%。在儿童中，球囊瓣膜成形术的比例从 2000 年至 2006 年的平均 43% 增加到 2007 年至 2011 年的 53%，而罗斯手术则从 22% 下降到 16%（P
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