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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Main Authors:	Francesco Nappi, Sanjeet Singh Avtaar Singh, Francesca Bellomo, Pierluigi Nappi, Adelaide Iervolino, Christophe Acar
Format:	Article
Language:	English
Published:	Hindawi Limited 2021-01-01
Series:	BioMed Research International
Online Access:	http://dx.doi.org/10.1155/2021/5547342

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spelling	doaj-4ace08b6d7794980bfedc5fa4734b41c2021-04-26T00:03:34ZengHindawi LimitedBioMed Research International2314-61412021-01-01202110.1155/2021/5547342The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art PrimerFrancesco Nappi0Sanjeet Singh Avtaar Singh1Francesca Bellomo2Pierluigi Nappi3Adelaide Iervolino4Christophe Acar5Department of Cardiac SurgeryDepartment of Cardiothoracic SurgeryDepartment of Clinical and Experimental MedicineDepartment of Clinical and Experimental MedicineDepartment of Cardiovascular SciencesDepartment of Cardiac SurgeryThe 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.http://dx.doi.org/10.1155/2021/5547342
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Francesco Nappi Sanjeet Singh Avtaar Singh Francesca Bellomo Pierluigi Nappi Adelaide Iervolino Christophe Acar
spellingShingle	Francesco Nappi Sanjeet Singh Avtaar Singh Francesca Bellomo Pierluigi Nappi Adelaide Iervolino Christophe Acar The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer BioMed Research International
author_facet	Francesco Nappi Sanjeet Singh Avtaar Singh Francesca Bellomo Pierluigi Nappi Adelaide Iervolino Christophe Acar
author_sort	Francesco Nappi
title	The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer
title_short	The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer
title_full	The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer
title_fullStr	The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer
title_full_unstemmed	The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer
title_sort	choice of pulmonary autograft in aortic valve surgery: a state-of-the-art primer
publisher	Hindawi Limited
series	BioMed Research International
issn	2314-6141
publishDate	2021-01-01
description	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.
url	http://dx.doi.org/10.1155/2021/5547342
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The Choice of Pulmonary Autograft in Aortic Valve Surgery: A State-of-the-Art Primer

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