Primary Aortic Root Replacement Outcomes and Risk Factors in Pediatric Patients

The study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed. Retrospective review of patients undergoing ARR from 1995 to 2018 was performed. Patients were stratified by surgical strategy (pulmonary autograft [Ro...

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Published inThe Annals of thoracic surgery Vol. 110; no. 1; pp. 189 - 197
Main Authors Binsalamah, Ziyad M., Ibarra, Christopher, Spigel, Zachary, Zea-Vera, Rodrigo, Zink, Jessica, Heinle, Jeffrey S., Caldarone, Christopher A.
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Published Netherlands Elsevier Inc 01.07.2020
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Abstract The study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed. Retrospective review of patients undergoing ARR from 1995 to 2018 was performed. Patients were stratified by surgical strategy (pulmonary autograft [Ross procedure], aortic homograft, mechanical valve conduit [Bentall procedure], or porcine xenograft [Freestyle bioprosthesis]) and aortic annulus size. ARR was performed in 206 patients with a median follow-up of 5.0 (interquartile range, 1.4-11.4) years. Root replacements included Ross procedure (n = 98), homograft (n = 83), Bentall procedure (n = 18), and Freestyle bioprosthesis (n = 7). Overall survival was 92%, and freedom from reoperation or death was 81%. Reoperation-free survival was superior in the Ross group when compared with other groups. Because surgical options differ based on the size of the aortic annulus, the analysis was arbitrarily stratified. When the aortic annulus diameter was greater than 19 mm (n = 74), procedures included Ross procedure (n = 23), homograft (n = 29), Bentall procedure (n = 17), and Freestyle bioprosthesis (n = 5). Reoperation-free survival at median follow-up (5 years) was 86%, 58%, 100%, and 100%, respectively. The Bentall procedure offered the longest freedom from reoperation. In the subset with aortic annulus diameter less than 19 mm and a pulmonary valve suitable for a Ross procedure, patients underwent the Ross procedure (n = 75) or homograft ARR (n = 36). At median follow-up (3.8 years), reoperation-free survival was longer after the Ross procedure than after homograft ARR (88% vs 46%; P < .001). In patients with a large aortic annulus, a Bentall ARR offers the longest reoperation-free survival. For patients with small aortic roots, a Ross procedure provides better a reoperation-free survival than does homograft ARR. [Display omitted]
AbstractList The study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed. Retrospective review of patients undergoing ARR from 1995 to 2018 was performed. Patients were stratified by surgical strategy (pulmonary autograft [Ross procedure], aortic homograft, mechanical valve conduit [Bentall procedure], or porcine xenograft [Freestyle bioprosthesis]) and aortic annulus size. ARR was performed in 206 patients with a median follow-up of 5.0 (interquartile range, 1.4-11.4) years. Root replacements included Ross procedure (n = 98), homograft (n = 83), Bentall procedure (n = 18), and Freestyle bioprosthesis (n = 7). Overall survival was 92%, and freedom from reoperation or death was 81%. Reoperation-free survival was superior in the Ross group when compared with other groups. Because surgical options differ based on the size of the aortic annulus, the analysis was arbitrarily stratified. When the aortic annulus diameter was greater than 19 mm (n = 74), procedures included Ross procedure (n = 23), homograft (n = 29), Bentall procedure (n = 17), and Freestyle bioprosthesis (n = 5). Reoperation-free survival at median follow-up (5 years) was 86%, 58%, 100%, and 100%, respectively. The Bentall procedure offered the longest freedom from reoperation. In the subset with aortic annulus diameter less than 19 mm and a pulmonary valve suitable for a Ross procedure, patients underwent the Ross procedure (n = 75) or homograft ARR (n = 36). At median follow-up (3.8 years), reoperation-free survival was longer after the Ross procedure than after homograft ARR (88% vs 46%; P < .001). In patients with a large aortic annulus, a Bentall ARR offers the longest reoperation-free survival. For patients with small aortic roots, a Ross procedure provides better a reoperation-free survival than does homograft ARR. [Display omitted]
The study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed. Retrospective review of patients undergoing ARR from 1995 to 2018 was performed. Patients were stratified by surgical strategy (pulmonary autograft [Ross procedure], aortic homograft, mechanical valve conduit [Bentall procedure], or porcine xenograft [Freestyle bioprosthesis]) and aortic annulus size. ARR was performed in 206 patients with a median follow-up of 5.0 (interquartile range, 1.4-11.4) years. Root replacements included Ross procedure (n = 98), homograft (n = 83), Bentall procedure (n = 18), and Freestyle bioprosthesis (n = 7). Overall survival was 92%, and freedom from reoperation or death was 81%. Reoperation-free survival was superior in the Ross group when compared with other groups. Because surgical options differ based on the size of the aortic annulus, the analysis was arbitrarily stratified. When the aortic annulus diameter was greater than 19 mm (n = 74), procedures included Ross procedure (n = 23), homograft (n = 29), Bentall procedure (n = 17), and Freestyle bioprosthesis (n = 5). Reoperation-free survival at median follow-up (5 years) was 86%, 58%, 100%, and 100%, respectively. The Bentall procedure offered the longest freedom from reoperation. In the subset with aortic annulus diameter less than 19 mm and a pulmonary valve suitable for a Ross procedure, patients underwent the Ross procedure (n = 75) or homograft ARR (n = 36). At median follow-up (3.8 years), reoperation-free survival was longer after the Ross procedure than after homograft ARR (88% vs 46%; P < .001). In patients with a large aortic annulus, a Bentall ARR offers the longest reoperation-free survival. For patients with small aortic roots, a Ross procedure provides better a reoperation-free survival than does homograft ARR.
BACKGROUNDThe study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed. METHODSRetrospective review of patients undergoing ARR from 1995 to 2018 was performed. Patients were stratified by surgical strategy (pulmonary autograft [Ross procedure], aortic homograft, mechanical valve conduit [Bentall procedure], or porcine xenograft [Freestyle bioprosthesis]) and aortic annulus size. RESULTSARR was performed in 206 patients with a median follow-up of 5.0 (interquartile range, 1.4-11.4) years. Root replacements included Ross procedure (n = 98), homograft (n = 83), Bentall procedure (n = 18), and Freestyle bioprosthesis (n = 7). Overall survival was 92%, and freedom from reoperation or death was 81%. Reoperation-free survival was superior in the Ross group when compared with other groups. Because surgical options differ based on the size of the aortic annulus, the analysis was arbitrarily stratified. When the aortic annulus diameter was greater than 19 mm (n = 74), procedures included Ross procedure (n = 23), homograft (n = 29), Bentall procedure (n = 17), and Freestyle bioprosthesis (n = 5). Reoperation-free survival at median follow-up (5 years) was 86%, 58%, 100%, and 100%, respectively. The Bentall procedure offered the longest freedom from reoperation. In the subset with aortic annulus diameter less than 19 mm and a pulmonary valve suitable for a Ross procedure, patients underwent the Ross procedure (n = 75) or homograft ARR (n = 36). At median follow-up (3.8 years), reoperation-free survival was longer after the Ross procedure than after homograft ARR (88% vs 46%; P < .001). CONCLUSIONSIn patients with a large aortic annulus, a Bentall ARR offers the longest reoperation-free survival. For patients with small aortic roots, a Ross procedure provides better a reoperation-free survival than does homograft ARR.
Author Zink, Jessica
Ibarra, Christopher
Heinle, Jeffrey S.
Spigel, Zachary
Binsalamah, Ziyad M.
Zea-Vera, Rodrigo
Caldarone, Christopher A.
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Cites_doi 10.1016/S0003-4975(00)01532-0
10.1016/j.amjcard.2012.09.035
10.1016/j.athoracsur.2007.07.047
10.1016/j.jtcvs.2013.04.014
10.1016/j.athoracsur.2011.06.083
10.1016/j.hrtlng.2009.11.005
10.1016/j.athoracsur.2015.12.076
10.1016/0003-4975(96)00270-6
10.1161/CIRCULATIONAHA.105.541649
10.1016/j.jtcvs.2018.09.148
10.1016/S0003-4975(01)02507-3
10.1053/j.pcsu.2005.01.012
10.1016/j.jsha.2013.11.003
10.1016/0003-4975(95)00289-W
10.1007/BF03086187
10.1016/j.jacc.2009.09.030
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References Khan, Samayoa, Chen, Petit, Fraser (bib2) 2013; 146
Karamlou, Jang, Williams (bib6) 2005 29; 112
Turrentine, Ruzmetov, Vijay, Bills, Brown (bib4) 2001; 71
Yankah A, Weng Y, Schorn K, et al. Accelerated degeneration of allografts in the first two years of life.
Van Damme, Van Deyk, Budts, Verhamme, Moons (bib12) 2011; 40
Alsoufi (bib5) 2014; 26
El-Hamamsy, Clark, Stevens (bib15) 2010; 55
Dittrich, Alexi-Meskishvili, Yankah (bib16) 2000; 70
Pieper, Balci, Van Dijk (bib14) 2008; 16
Starnes, Luciani, Wells (bib7) 1996; 62
Juthier, Vincentelli, Pinçon (bib10) 2012; 93
Fraser, Liu, Zhou (bib1) 2019; 157
Khwaja, Nigro, Starnes (bib8) 2005; 8
1995;60:S71-S77.
Heuvelman, Arabkhani, Cornette (bib13) 2013; 111
Kadner, Raisky, Degandt (bib9) 2008; 85
Brown, Patel, Ivy Lin, Habib, Rodefeld, Turrentine (bib3) 2016; 101
33144105 - Ann Thorac Surg. 2021 May;111(5):1742
Pieper (10.1016/j.athoracsur.2020.02.060_bib14) 2008; 16
El-Hamamsy (10.1016/j.athoracsur.2020.02.060_bib15) 2010; 55
Khwaja (10.1016/j.athoracsur.2020.02.060_bib8) 2005; 8
Van Damme (10.1016/j.athoracsur.2020.02.060_bib12) 2011; 40
Heuvelman (10.1016/j.athoracsur.2020.02.060_bib13) 2013; 111
Karamlou (10.1016/j.athoracsur.2020.02.060_bib6) 2005; 112
Juthier (10.1016/j.athoracsur.2020.02.060_bib10) 2012; 93
Alsoufi (10.1016/j.athoracsur.2020.02.060_bib5) 2014; 26
Fraser (10.1016/j.athoracsur.2020.02.060_bib1) 2019; 157
10.1016/j.athoracsur.2020.02.060_bib11
Turrentine (10.1016/j.athoracsur.2020.02.060_bib4) 2001; 71
Brown (10.1016/j.athoracsur.2020.02.060_bib3) 2016; 101
Starnes (10.1016/j.athoracsur.2020.02.060_bib7) 1996; 62
Khan (10.1016/j.athoracsur.2020.02.060_bib2) 2013; 146
Dittrich (10.1016/j.athoracsur.2020.02.060_bib16) 2000; 70
Kadner (10.1016/j.athoracsur.2020.02.060_bib9) 2008; 85
References_xml – volume: 157
  start-page: 1100
  year: 2019
  end-page: 1109
  ident: bib1
  article-title: Valve-sparing aortic root replacement in children: Outcomes from 100 consecutive cases
  publication-title: J Thorac Cardiovasc Surg
  contributor:
    fullname: Zhou
– volume: 85
  start-page: 803
  year: 2008
  end-page: 808
  ident: bib9
  article-title: The Ross procedure in infants and young children
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Degandt
– volume: 16
  start-page: 406
  year: 2008
  end-page: 411
  ident: bib14
  article-title: Pregnancy in women with prosthetic heart valves
  publication-title: Netherlands Heart J
  contributor:
    fullname: Van Dijk
– volume: 101
  start-page: 1804
  year: 2016
  end-page: 1810
  ident: bib3
  article-title: Ross versus non-Ross aortic valve replacement in children: a 22-year single institution comparison of outcomes
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Turrentine
– volume: 146
  start-page: 512
  year: 2013
  end-page: 521
  ident: bib2
  article-title: Contemporary experience with surgical treatment of aortic valve disease in children
  publication-title: J Thorac Cardiovasc Surg
  contributor:
    fullname: Fraser
– volume: 93
  start-page: 598
  year: 2012
  end-page: 605
  ident: bib10
  article-title: Reoperation after the Ross procedure: incidence, management, and survival
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Pinçon
– volume: 62
  start-page: 442
  year: 1996
  end-page: 448
  ident: bib7
  article-title: Aortic root replacement with the pulmonary autograft in children with complex left heart obstruction
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Wells
– volume: 55
  start-page: 368
  year: 2010
  end-page: 376
  ident: bib15
  article-title: Late outcomes following freestyle versus homograft aortic root replacement
  publication-title: J Am Coll Cardiol
  contributor:
    fullname: Stevens
– volume: 26
  start-page: 33
  year: 2014
  end-page: 41
  ident: bib5
  article-title: Aortic valve replacement in children: Options and outcomes
  publication-title: J Saudi Heart Assoc
  contributor:
    fullname: Alsoufi
– volume: 112
  start-page: 3462
  year: 2005 29
  end-page: 3469
  ident: bib6
  article-title: Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing-risks analysis
  publication-title: Circulation
  contributor:
    fullname: Williams
– volume: 8
  start-page: 173
  year: 2005
  end-page: 175
  ident: bib8
  article-title: The Ross procedure is an ideal aortic valve replacement operation for the teen patient
  publication-title: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu
  contributor:
    fullname: Starnes
– volume: 40
  start-page: 139
  year: 2011
  end-page: 146
  ident: bib12
  article-title: Patient knowledge of and adherence to oral anticoagulation therapy after mechanical heart-valve replacement for congenital or acquired valve defects
  publication-title: Heart Lung
  contributor:
    fullname: Moons
– volume: 71
  start-page: S356
  year: 2001
  end-page: S360
  ident: bib4
  article-title: Biological versus mechanical aortic valve replacement in children
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Brown
– volume: 70
  start-page: 717
  year: 2000
  end-page: 722
  ident: bib16
  article-title: Comparison of porcine xenografts and homografts for pulmonary valve replacement in children
  publication-title: Ann Thorac Surg
  contributor:
    fullname: Yankah
– volume: 111
  start-page: 382
  year: 2013
  end-page: 387
  ident: bib13
  article-title: Pregnancy outcomes in women with aortic valve substitutes
  publication-title: Am J Cardiol
  contributor:
    fullname: Cornette
– volume: 70
  start-page: 717
  year: 2000
  ident: 10.1016/j.athoracsur.2020.02.060_bib16
  article-title: Comparison of porcine xenografts and homografts for pulmonary valve replacement in children
  publication-title: Ann Thorac Surg
  doi: 10.1016/S0003-4975(00)01532-0
  contributor:
    fullname: Dittrich
– volume: 111
  start-page: 382
  year: 2013
  ident: 10.1016/j.athoracsur.2020.02.060_bib13
  article-title: Pregnancy outcomes in women with aortic valve substitutes
  publication-title: Am J Cardiol
  doi: 10.1016/j.amjcard.2012.09.035
  contributor:
    fullname: Heuvelman
– volume: 85
  start-page: 803
  year: 2008
  ident: 10.1016/j.athoracsur.2020.02.060_bib9
  article-title: The Ross procedure in infants and young children
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2007.07.047
  contributor:
    fullname: Kadner
– volume: 146
  start-page: 512
  year: 2013
  ident: 10.1016/j.athoracsur.2020.02.060_bib2
  article-title: Contemporary experience with surgical treatment of aortic valve disease in children
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2013.04.014
  contributor:
    fullname: Khan
– volume: 93
  start-page: 598
  year: 2012
  ident: 10.1016/j.athoracsur.2020.02.060_bib10
  article-title: Reoperation after the Ross procedure: incidence, management, and survival
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2011.06.083
  contributor:
    fullname: Juthier
– volume: 40
  start-page: 139
  year: 2011
  ident: 10.1016/j.athoracsur.2020.02.060_bib12
  article-title: Patient knowledge of and adherence to oral anticoagulation therapy after mechanical heart-valve replacement for congenital or acquired valve defects
  publication-title: Heart Lung
  doi: 10.1016/j.hrtlng.2009.11.005
  contributor:
    fullname: Van Damme
– volume: 101
  start-page: 1804
  year: 2016
  ident: 10.1016/j.athoracsur.2020.02.060_bib3
  article-title: Ross versus non-Ross aortic valve replacement in children: a 22-year single institution comparison of outcomes
  publication-title: Ann Thorac Surg
  doi: 10.1016/j.athoracsur.2015.12.076
  contributor:
    fullname: Brown
– volume: 62
  start-page: 442
  year: 1996
  ident: 10.1016/j.athoracsur.2020.02.060_bib7
  article-title: Aortic root replacement with the pulmonary autograft in children with complex left heart obstruction
  publication-title: Ann Thorac Surg
  doi: 10.1016/0003-4975(96)00270-6
  contributor:
    fullname: Starnes
– volume: 112
  start-page: 3462
  year: 2005
  ident: 10.1016/j.athoracsur.2020.02.060_bib6
  article-title: Outcomes and associated risk factors for aortic valve replacement in 160 children: a competing-risks analysis
  publication-title: Circulation
  doi: 10.1161/CIRCULATIONAHA.105.541649
  contributor:
    fullname: Karamlou
– volume: 157
  start-page: 1100
  year: 2019
  ident: 10.1016/j.athoracsur.2020.02.060_bib1
  article-title: Valve-sparing aortic root replacement in children: Outcomes from 100 consecutive cases
  publication-title: J Thorac Cardiovasc Surg
  doi: 10.1016/j.jtcvs.2018.09.148
  contributor:
    fullname: Fraser
– volume: 71
  start-page: S356
  year: 2001
  ident: 10.1016/j.athoracsur.2020.02.060_bib4
  article-title: Biological versus mechanical aortic valve replacement in children
  publication-title: Ann Thorac Surg
  doi: 10.1016/S0003-4975(01)02507-3
  contributor:
    fullname: Turrentine
– volume: 8
  start-page: 173
  year: 2005
  ident: 10.1016/j.athoracsur.2020.02.060_bib8
  article-title: The Ross procedure is an ideal aortic valve replacement operation for the teen patient
  publication-title: Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu
  doi: 10.1053/j.pcsu.2005.01.012
  contributor:
    fullname: Khwaja
– volume: 26
  start-page: 33
  year: 2014
  ident: 10.1016/j.athoracsur.2020.02.060_bib5
  article-title: Aortic valve replacement in children: Options and outcomes
  publication-title: J Saudi Heart Assoc
  doi: 10.1016/j.jsha.2013.11.003
  contributor:
    fullname: Alsoufi
– ident: 10.1016/j.athoracsur.2020.02.060_bib11
  doi: 10.1016/0003-4975(95)00289-W
– volume: 16
  start-page: 406
  year: 2008
  ident: 10.1016/j.athoracsur.2020.02.060_bib14
  article-title: Pregnancy in women with prosthetic heart valves
  publication-title: Netherlands Heart J
  doi: 10.1007/BF03086187
  contributor:
    fullname: Pieper
– volume: 55
  start-page: 368
  year: 2010
  ident: 10.1016/j.athoracsur.2020.02.060_bib15
  article-title: Late outcomes following freestyle versus homograft aortic root replacement
  publication-title: J Am Coll Cardiol
  doi: 10.1016/j.jacc.2009.09.030
  contributor:
    fullname: El-Hamamsy
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Snippet The study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed....
BACKGROUNDThe study sought to identify the optimal aortic root replacement (ARR) strategy for pediatric patients, and a single-center experience was analyzed....
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SubjectTerms Age Factors
Aortic Valve Insufficiency - complications
Aortic Valve Insufficiency - mortality
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - complications
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - surgery
Bioprosthesis
Child
Child, Preschool
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - adverse effects
Heart Valve Prosthesis Implantation - instrumentation
Heart Valve Prosthesis Implantation - methods
Humans
Infant
Male
Postoperative Complications - epidemiology
Retrospective Studies
Risk Factors
Survival Rate
Treatment Outcome
Title Primary Aortic Root Replacement Outcomes and Risk Factors in Pediatric Patients
URI https://dx.doi.org/10.1016/j.athoracsur.2020.02.060
https://www.ncbi.nlm.nih.gov/pubmed/32251661
https://search.proquest.com/docview/2387260715
Volume 110
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