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Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation  Frank A Pigula, MD, Joseph Paolillo, MD, Michael McGrath, MD,

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Presentation on theme: "Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation  Frank A Pigula, MD, Joseph Paolillo, MD, Michael McGrath, MD,"— Presentation transcript:

1 Aortopulmonary size discrepancy is not a contraindication to the pediatric Ross operation 
Frank A Pigula, MD, Joseph Paolillo, MD, Michael McGrath, MD, Sanjiv K Gandhi, MD, John L Myers, MD, Beverly Rebovich, Ralph D Siewers, MD  The Annals of Thoracic Surgery  Volume 72, Issue 5, Pages (November 2001) DOI: /S (01)

2 Fig 1 Annular reduction was accomplished in 8 patients with plication of the annulus with pledget, nonabsorbable sutures. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

3 Fig 2 Two patients with large aortopulmonary size discrepancies (≥ 6 mm diameter) were treated with purse string reduction of the aortic annulus, sized over a Heger dilator. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

4 Fig 3 One patient underwent excision of the posterior aortic annulus into the anterior leaflet of the mitral valve with reapproximation. The Annals of Thoracic Surgery  , DOI: ( /S (01) )

5 Fig 4 Raw annular measurements obtained by serial echocardiography. Linear regression analysis shows little difference in the rate of annular enlargement, represented by the solid line, over time between the three groups (p > 0.05). The Annals of Thoracic Surgery  , DOI: ( /S (01) )


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