Interv Akut Kardiol. 2013;12(4):174-176

Quality of life after Ross procedure

Martin Voborník¹, Jan Vojáček¹, Martina Cvečková¹, Pavel Žáček¹, Jaroslav Špatenka²

¹ Kardiochirurgická klinika, UK v Praze, LF a FN HK, Hradec Králové

² Transplantační centrum, FN Motol, Praha

The aim of the study: Report’s target was to compare the quality of life of two patients groups: First – 23 Ross patients, and second – 29

mechanical valve prostheses owners.

Material and methods: Ross procedure was performed in 28 patients at our Institution since 2009. Perioperative mortality was 0%,

survival rate 100 %, pulmonary autograft and pulmonary allograft function remains excellent. From that series 23 patients (› 6 months

after Ross) have been evaluated. The control group was formed from 29 patients (matched for comparable profile) who underwent the

aortic valve replacement with mechanical valve prosthesis.

Results: In the group 1, higher average values in all 8 quality of life categories were found. Significant difference was proved in categories

of pain (P = 0.030), physical function (P = 0.025) and general health (P = 0.002).

Conclusions: On the basis of our results (mortality, pulmonary autograft and allograft function on follow-up) the Ross procedure remains

an alternative to aortic valve replacement for active young and middle-aged patients, mainly for those who are not suitable condidates

for anticoagulation. Despite the possible risks the quality of life in Ross patients was found to be unequivocally higher in comparison

with a mechanical valve prostheses owners.

Keywords: quality of life, Ross procedure, mechanical valve prosthesis, SF-36

Published: December 1, 2013  Show citation