The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer.
Francesco NappiSanjeet Singh Avtaar SinghFrancesca BellomoPierluigi NappiAdelaide IervolinoChristophe AcarPublished in: BioMed research international (2021)
The Ross procedure has long been seen as an optimal operation for a select few. The detractors of it highlight the issue of an additional harvesting of the pulmonary artery, subjecting the native PA to systemic pressures and the need for reintervention as reasons to avoid it. However, the PA is a living tissue and capable of adapting and remodeling to growth. We therefore review the current evidence available to discuss the indications, contraindications, harvesting techniques, and modifications in a state-of-the-art narrative review of the PA as an aortic conduit. Due to the lack of substantial well-designed randomized controlled trials (RCTs), we also highlight the areas of need to reiterate the importance of the Ross procedure as part of the surgical armamentarium.
Keyphrases
- aortic valve
- pulmonary artery
- pulmonary hypertension
- minimally invasive
- coronary artery
- transcatheter aortic valve replacement
- pulmonary arterial hypertension
- transcatheter aortic valve implantation
- aortic valve replacement
- aortic stenosis
- randomized controlled trial
- energy transfer
- coronary artery bypass
- systematic review
- clinical trial
- surgical site infection
- meta analyses