Immediate results of modified Ross procedure

Objective. The study aims to assess immediate results of modified Ross procedure in adults with aortic valve pathology of various etiology. Methods. This retrospective study included 21 adult patients (mean age 41 years), who underwent modified Ross procedure for aortic valve disease of various etiology. Patients were not divided into groups according to the used type of modification (use was made of a patient's aorta or synthetic prosthesis). In 42.9% of cases combined operations were performed in case of concurrent valve pathology. The immediate operative results during hospital stay were analyzed. Results. There was no hospital mortality. There were 3 cases of coronary ostia kinking during the procedure resulting in acute heart failure, which required bypass grafting. Postoperative complications included 1 case of perioperative AMI, 1 case of stroke and 1 case of bleeding that necessitated resternotomy. Multiorgan failure occurred in 2 patients. Mean time of ICU stay was 42 (16-181) hours. Good hemodynamic results of both homo- and autografts were confirmed by echocardiography before discharge in all cases. Conclusion. Modifications of the Ross procedure used in our study to prevent neoaortic root dilatation leading to aortic regurgitation are reproducible and safe in experienced hands. Middle and long term follow-up is needed to determine their safety and efficacy.