The Ross Procedure in Children Undergoing Reintervention: Another Victory for Nonthrombogenic Surgery
Ismail El-Hamamsy, MD, Paul Stelzer, MD, David H Adams, MD
Aortic valve (AV) surgery in children presents many unique challenges, including preserving the potential for somatic growth, maximizing valve durability, and, most importantly, preserving very long anticipated life expectancy and quality of life. Current mainstream options include balloon valvuloplasties; reparative valve surgery; and valve replacement with the patient’s own living pulmonary valve, a bioprosthetic animal valve, or a mechanical valve. To this day, no single option can consistently achieve all stated goals at once. Each option carries relative limitations in terms of growth, durability, and long-term clinically relevant outcomes. Nevertheless, in choosing the appropriate surgical technique in children, it is imperative to consider 2 important notions that are tightly interwoven: 1) the normal AV is a living structure with dynamic, adaptive, and highly regulated functions (1); and 2) the key to long-term survival and quality of life is left ventricular (LV) health.
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Publications
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Professor Ajit P. Yoganathan, PhD: "From bench to bedside": Celebrating his contributions to cardiac surgery with an honorary fellowship from the American Association for Thoracic Surgery
Pedro Del Nido, MD, David H. Adams, MD -
Surgical and Transcatheter Mitral Valve Replacement in Mitral Annular Calcification: A Systematic Review
Sophia Alexis, Aaqib Malik, Ahmed El‐Eshmawi, Isaac George, Aditya Sengupta, Susheel Kodali, Rebecca Hahn, Omar Khalique, Syed Zaid, Mayra Guerrero, Vinayak Bapat, Martin Leon, David H. Adams, and Gilbert Tang -
Review of frozen elephant trunk repair with the Thoraflex Hybrid device
Vincent Chauvette, MD, Maral Ouzounian, MD, Jennifer Chung, MD, Mark Peterson, MD, Munir Boodhwani, MD, Ismail El-Hamamsy, MD, François Dagenais, MD, Matthew Valdis, MD, Michael W A Chu, MD -
Risk factors for recurrence of aortic regurgitation after aortic valve repair
Vincent Chauvette, MD, Elbert E Williams, MD, Ismail El-Hamamsy, MD