Vol. 19 No. 3 (2015)
ACQUIRED HEART DISEASES

Results of surgical treatment in patients with aortic valve disease and concomitant ascending aorta dilatation: a comparison of the Ross procedure and the Bentall-deBono operation

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  • A. Karaskov,
  • R. Sharifulin,
  • A. Bogachev-Prokofiyev,
  • I. Demin,
  • S. Zheleznev,
  • A. Open
A. Karaskov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
R. Sharifulin
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
A. Bogachev-Prokofiyev
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
I. Demin
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
S. Zheleznev
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
A. Open
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology Ministry of Health Care of Russian Federation, 15 Rechkunovskaya St., 630055 Novosibirsk, Russian Federation
Bio
DOI: https://doi.org/10.21688/1681-3472-2015-3-50-57

Published 2015-10-22

Keywords

  • aortic valve disease,
  • ascending aorta aneurysm,
  • Ross procedure,
  • Bentall-deBono operation,
  • quality of life

How to Cite

Karaskov, A., Sharifulin, R., Bogachev-Prokofiyev, A., Demin, I., Zheleznev, S., & Open, A. (2015). Results of surgical treatment in patients with aortic valve disease and concomitant ascending aorta dilatation: a comparison of the Ross procedure and the Bentall-deBono operation. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 19(3), 50–57. https://doi.org/10.21688/1681-3472-2015-3-50-57

Copyright (c) 2015 Karaskov A.M., Sharifulin R.M., Bogachev-Prokofiyev A.V., Demin I.I., Zheleznev S.I., Open A.B.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Objective. The aim of this prospective study was to compare the results of the Ross procedure and Bentall-deBono operation in patients with aortic valve disease and concomitant ascending aorta dilatation.
Methods. The patients with aortic valve disease and ascending aorta dilatation ≥45 mm were included in this stud. 76 patients underwent the Ross procedure, 47 – the Bentall-deBono operation. While using a «propensity score matching» method, two groups were formed (42 patients in each group): group I (Ross procedure) and group II (Bentall-deBono operation). Median follow-up in group I was 24 (12; 35) months, in group II – 21 (14; 25) months (p = 0.27). A comparison was then made between surgery outcomes and quality of life.
Results. There were no statistically significant differences in early mortality, morbidity and survival. The freedom from valve-related events was 95.1±3.4% in group I and 76.2±8.2% in group II (p = 0.08). The freedom from prosthesis dysfunction for group I and II was 91.0±5.0% and 97.4±2.6%, respectively (p = 0.3). The quality of life was higher in group I. SF-36 questionnaire revealed significant differences in physical functioning: 85 (72.5; 90) in Group I and 80 (65; 85) in Group II, p = 0.02 and mental health: 80 (70; 84) in Group I and 68 (64; 76) in Group II, p = 0.02.
Conclusion. Hence, the Ross procedure is a safe method in patients with aortic valve disease and concomitant ascending aorta dilatation. The quality of life after the Ross procedure is higher in comparison with that of the Bentall-deBono operation.

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