The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Chernov I.I.

Federal Center for Cardiovascular Surgery

Enginoev S.T.

Federal Center for Cardiovascular Surgery;
Astrakhan State Medical University

Gamzaev A.B.

Privolzhsky Research Medical University

Komarov R.N.

Sechenov First Moscow State Medical University

Belov V.A.

Sukhanov Federal Center for Cardiovascular Surgery

Arutyunyan V.B.

Sukhanov Federal Center for Cardiovascular Surgery

Kadyraliev B.K.

Sukhanov Federal Center for Cardiovascular Surgery;
Perm National Research Polytechnic University

Semagin A.P.

Polyakov Regional Clinical Cardiology Dispensary

Kuznetsov D.V.

Polyakov Regional Clinical Cardiology Dispensary

Zybin A.A.

Polyakov Regional Clinical Cardiology Dispensary

Tlisov B.M.

Sechenov First Moscow State Medical University

Khassan M.M.

Astrakhan State Medical University

Immediate and mid-term results of the Ross and Ozaki procedures in adults

Authors:

Chernov I.I., Enginoev S.T., Gamzaev A.B., Komarov R.N., Belov V.A., Arutyunyan V.B., Kadyraliev B.K., Semagin A.P., Kuznetsov D.V., Zybin A.A., Tlisov B.M., Khassan M.M.

More about the authors

Journal: Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(2): 127‑134

DOI: 10.17116/kardio202518021127

Views: 343

Downloaded: 25

Download PDF (RU)
Download PDF
Contact the author
Table of contents

IMMEDIATE AND MID-TERM RESULTS OF THE ROSS AND OZAKI PROCEDURES IN ADULTS
IMMEDIATE AND MID-TERM RESULTS OF THE ROSS AND OZAKI PROCEDURES IN ADULTS

To cite this article:

Chernov II, Enginoev ST, Gamzaev AB, et al. . Immediate and mid-term results of the Ross and Ozaki procedures in adults. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;18(2):127‑134. (In Russ., In Engl.)
https://doi.org/10.17116/kardio202518021127

Подписка 2025-2 (Russian Journal of Cardiology and Cardiovascular Surgery)
 
МСФ на ЯМ
Close metadata
Recommended articles:
Effe­ctiveness of different cardioplegia options for aortic valve replacement. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(3):301-305
Three-year resu­lts of aortic valve neocuspidization (Ozaki procedure): a multiple-center retrospective study. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(4):428-435
Long-term resu­lts of aortic valve replacement in patients with severe left ventricular dysfunction. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):609-616
Comparison between mini-access and median sternotomy for aortic valve replacement: propensity score matching analysis. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):617-623
Predictors of aortic valve dysfunction after the Ozaki procedure. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):624-628
Aortic homo­graft in redo aortic root surgery. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(6):686-690
Imme­diate resu­lts of mitral and aortic valve replacement with simu­ltaneous Cox-Maze IV procedure. Russian Journal of Cardiology and Cardiovascular Surgery. 2025;(1):28-33
Imme­diate and long-term resu­lts of the simu­ltaneous rhythm-converting procedure Cox-Maze IV in multivalvular correction. Piro­gov Russian Journal of Surgery. 2024;(12-2):25-34
Adapted scale for analysis of nece­ssary septal myectomy in aortic valve replacement. Piro­gov Russian Journal of Surgery. 2024;(12-2):35-41
Auto­pericardial neocuspidization in patients with small aortic annu­lus. Russian Cardiology Bulletin. 2024;(4):66-71

OBJECTIVE

To compare the immediate and mid-term results of the AVNeo and Ross procedures for aortic valve disease in adults.

MATERIAL AND METHODS

After PSM, we distinguished 2 groups by 30 patients: group I — the AVNeo procedure (n=30), group II (n=30) — the Ross procedure. Inclusion criteria: patients aged ≥16 years who underwent the Ross or AVNeo surgery. There were no exclusion criteria. The median follow-up period was 27 [13; 76] months (24 [17; 32] and 80 [33; 103], respectively).

RESULTS

Demographic and preoperative clinical and echocardiographic characteristics after PSM did not differ between groups. Mean age of patients was 48 [37; 59] and 50 [42; 54] years, respectively (p=0.707). Surgery time was similar (220 vs 235 min, p=0.705). Cardiopulmonary bypass and myocardial ischemia time was significantly shorter after the AVNeo procedure (108 vs 148 min, p<0.001; 82 vs 115 min, p<0.001, respectively). In-hospital mortality did not differ significantly (3.3% (n=1) and 0, p=0.356). There were no differences in postoperative complications: resternotomy for bleeding (3.3% vs 0, p=1), implantation of permanent pacemaker (0 vs 3.3%, p=0.356), stroke (0 vs 3.3%, p=0.807). Sepsis, AKI and wound superficial infection were not observed in any patient. Three-year overall survival was lower in the AVNeo group (89.4% vs 100%, p=0.015). Three-year freedom from redo surgery was lower in the AVNeo group (79.7% vs 100%, p=0.034).

CONCLUSION

In-hospital mortality and postoperative complications did not differ between groups. Overall 3-year survival and freedom from redo surgery were higher after the Ross procedure.

Keywords:

Ross procedure
aortic valve replacement
aortic valve neocuspidization

Authors:

Chernov I.I.

Federal Center for Cardiovascular Surgery

Enginoev S.T.

Federal Center for Cardiovascular Surgery;
Astrakhan State Medical University

Gamzaev A.B.

Privolzhsky Research Medical University

Komarov R.N.

Sechenov First Moscow State Medical University

Belov V.A.

Sukhanov Federal Center for Cardiovascular Surgery

Arutyunyan V.B.

Sukhanov Federal Center for Cardiovascular Surgery

Kadyraliev B.K.

Sukhanov Federal Center for Cardiovascular Surgery;
Perm National Research Polytechnic University

Semagin A.P.

Polyakov Regional Clinical Cardiology Dispensary

Kuznetsov D.V.

Polyakov Regional Clinical Cardiology Dispensary

Zybin A.A.

Polyakov Regional Clinical Cardiology Dispensary

Tlisov B.M.

Sechenov First Moscow State Medical University

Khassan M.M.

Astrakhan State Medical University

Received:

31.10.2023

Accepted:

16.01.2024

List of references:

  1. Baumgartner H, Falk V, Bax JJ, De Bonis M, Hamm C, Holm PJ, et al. 2017 ESC/EACTS Guidelines for the management of valvular heart disease. 2017; 38 (36):2739-2791. https://doi.org/10.1093/eurheartj/ehx391
  2. Otto CM, Nishimura RA, Bonow RO, Carabello BA, Erwin JP, Gentile F, et al. 2020 ACC/AHA Guideline for the Management of Patients with Valvular Heart Disease: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. 2021; 143 (5): e72-e227. https://doi.org/10.1161/CIR.0000000000000923
  3. Iribarne A, Leavitt BJ, Robich MP, Sardella GL, Gelb DJ, Baribeau YR, et al. Tissue versus mechanical aortic valve replacement in younger patients: A multicenter analysis. J Thorac Cardiovasc Surg. 2019;158:1529-1538.e2.  https://doi.org/10.1016/j.jtcvs.2019.02.076.
  4. Head SJ, Çelik M, Kappetein AP. Mechanical versus bioprosthetic aortic valve replacement. Eur Heart J. 2017;38:2183-2191. https://doi.org/10.1093/eurheartj/ehx141.
  5. Bozso SJ, White A, Kang JJH, Hong Y, Norris CM, Lakey O, et al. Long-term Outcomes Following Mechanical or Bioprosthetic Aortic Valve Replacement in Young Women. CJC Open. 2020;2:514-21.  https://doi.org/https://doi.org/10.1016/j.cjco.2020.06.015.
  6. Attia T, Yang Y, Svensson LG, Toth AJ, Rajeswaran J, Blackstone EH, et al. Similar long-term survival after isolated bioprosthetic versus mechanical aortic valve replacement: A propensity-matched analysis. J Thorac Cardiovasc Surg. 2022; 164 (5):1444-1455. https://doi.org/https://doi.org/10.1016/j.jtcvs.2020.11.181
  7. Ozaki S, Kawase I, Yamashita H, Uchida S, Nozawa Y, Takatoh M, et al. Reconstruction of bicuspid aortic valve with autologous pericardium--usefulness of tricuspidization. Circ J. 2014;78:1144-1151. https://doi.org/10.1253/circj.cj-13-1335
  8. Ross DN. Replacement of aortic and mitral valves with a pulmonary autograft. Lancet (London, England). 1967;2:956-958.  https://doi.org/10.1016/s0140-6736(67)90794-5
  9. Sá MP, Chernov I, Marchenko A, chagyan V, Komarov R, Askadinov M, et al. Aortic Valve Neocuspidization (Ozaki Procedure) in Patients with Small Aortic Annulus (≤21mm): A Multicenter Study. Struct Hear. 2020; 4 (5);413-419.  https://doi.org/10.1080/24748706.2020.1792595
  10. Arutyunyan V, Chernov I, Komarov R, Sinelnikov Y, Kadyraliev B, Enginoev S, et al. Immediate outcomes of aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium: A multicenter study. Brazilian J Cardiovasc Surg. 2020;35:241-248.  https://doi.org/10.21470/1678-9741-2020-0019
  11. Poh CL, Buratto E, Larobina M, Wynne R, O’Keefe M, Goldblatt J, et al. The Ross procedure in adults presenting with bicuspid aortic valve and pure aortic regurgitation: 85% freedom from reoperation at 20 years. Eur J Cardio-Thoracic Surg Off J Eur Assoc Cardio-Thoracic Surg. 2018;54:420-426.  https://doi.org/10.1093/ejcts/ezy073
  12. Kouchoukos NT, Masetti P, Nickerson NJ, Castner CF, Shannon WD, Dávila-Román VG. The Ross procedure: long-term clinical and echocardiographic follow-up. Ann Thorac Surg. 2004;78:773-781.  https://doi.org/10.1016/j.athoracsur.2004.02.033.
  13. Ozaki S, Kawase I, Yamashita H, Uchida S, Nozawa Y, Takatoh M, et al. A total of 404 cases of aortic valve reconstruction with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg. 2014;147:301-306.  https://doi.org/10.1016/j.jtcvs.2012.11.012
  14. Ozaki S, Kawase I, Yamashita H, Uchida S, Takatoh M, Kiyohara N. Midterm outcomes after aortic valve neocuspidization with glutaraldehyde-treated autologous pericardium. J Thorac Cardiovasc Surg. 2018;155:2379-2387. https://doi.org/10.1016/j.jtcvs.2018.01.087
  15. Polito A, Albanese SB, Cetrano E, Forcina S, Cicenia M, Rinelli G, et al. Aortic Valve Neocuspidalization May Be a Viable Alternative to Ross Operation in Pediatric Patients. Pediatr Cardiol. 2021;42:668-675.  https://doi.org/10.1007/s00246-020-02528-3
  16. Chernov II, Kozmin DYu, Makeev SA, Demetskaya VV, Tarasov DG. Immediate results of the modified Ross procedure. Circulation Pathology and Cardiac Surgery. 2016;20:12-18. (In Russ.).
  17. Martin E, Mohammadi S, Jacques F, Kalavrouziotis D, Voisine P, Doyle D, et al. Clinical Outcomes Following the Ross Procedure in Adults: A 25-Year Longitudinal Study. J Am Coll Cardiol. 2017;70:1890-1899. https://doi.org/10.1016/j.jacc.2017.08.030
  18. Mastrobuoni S, de Kerchove L, Solari S, Astarci P, Poncelet A, Noirhomme P, et al. The Ross procedure in young adults: over 20 years of experience in our Institution †. Eur J Cardio-Thoracic Surg. 2016;49:507-513.  https://doi.org/10.1093/ejcts/ezv053
  19. El-Hamamsy I, Toyoda N, Itagaki S, Stelzer P, Varghese R, Williams EE, et al. Propensity-Matched Comparison of the Ross Procedure and Prosthetic Aortic Valve Replacement in Adults. J Am Coll Cardiol. 2022;79:805-815.  https://doi.org/10.1016/j.jacc.2021.11.057
  20. Tsaroev B, Chernov I, Enginoev S, Mustaev M. Survival and freedom from reoperation after the Ross procedure in a Russian adult population: A single-center experience. JTCVS Open. 2022;10:140-147.  https://doi.org/10.1016/j.xjon.2022.04.026
  21. Aboud A, Charitos EI, Fujita B, Stierle U, Reil JC, Voth V, et al. Long-Term Outcomes of Patients Undergoing the Ross Procedure. J Am Coll Cardiol. 2021;77:1412-1422. https://doi.org/10.1016/j.jacc.2021.01.034
  22. Ozaki S, Kawase I, Yamashita H, Uchida S, Nozawa Y, Matsuyama T, et al. Aortic valve reconstruction using self-developed aortic valve plasty system in aortic valve disease. Interact Cardiovasc Thorac Surg. 2011;12:550-553.  https://doi.org/10.1510/icvts.2010.253682
  23. Chernov II, Enginoev ST, Komarov RN, Bazylev VV, Tarasov DG, Kadyraliev KB, Tungusov DS, Arutyunyan AV, Chragyan AV, Batrakov PA, Ismailbaev AM, Tlisov BM, Weymann A., Pompeu M, Zhigalov K. Short-term outcomes of Ozaki procedure: a multicenter study. Russian Journal of Cardiology. 2020;25(4S):4157. (In Russ.). https://doi.org/10.15829/1560-4071-2020-4157
  24. Ozaki S, Kawase I, Yamashita H, Nozawa Y, Takatoh M, Hagiwara S, et al. Aortic valve reconstruction using autologous pericardium for patients aged less than 60 years. J Thorac Cardiovasc Surg. 2014;148:934-938.  https://doi.org/10.1016/j.jtcvs.2014.05.041
  25. Amabile A, Krane M, Dufendach K, Baird CW, Ganjoo N, Eckstein FS, et al. Standardized Aortic Valve Neocuspidization for Treatment of Aortic Valve Diseases. Ann Thorac Surg. 2022:1108-1117. https://doi.org/10.1016/j.athoracsur.2022.03.067

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.