The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer.

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 li...

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Publicado en:BioMed Research International pp. 1 - 16
Autores principales: Nappi, Francesco, Singh, Sanjeet Singh Avtaar, Bellomo, Francesca, Nappi, Pierluigi, Iervolino, Adelaide, Acar, Christophe
Formato: pictorial review tables/charts Journal Article
Publicado: Wiley-Blackwell 4/14/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 4/14/2021
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      pub: Wiley-Blackwell
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        atl: The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer.
      aug:
        au:
          Nappi, Francesco
          Singh, Sanjeet Singh Avtaar
          Bellomo, Francesca
          Nappi, Pierluigi
          Iervolino, Adelaide
          Acar, Christophe
        affil: Department of Cardiac Surgery, Centre Cardiologique du Nord de Saint-Denis, Paris, France
      sug:
        subj:
          Autografts
          Aortic Valve Surgery
          Pulmonary Artery Pathology
          Prostheses and Implants
          Tissue and Organ Harvesting
      ab: 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.
      pubtype: Academic Journal
      doctype:
        pictorial
        review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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