coryp
Well-known member
Hello,
Is this possible or not a good candidate?
Is this possible or not a good candidate?
Ross procedure if you have a Ascending Aortic Aneurysm?
- Thread starter coryp
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Tom F.
Well-known member
A Ross as part of surgery for an ascending aortic aneurysm is very possible and has been done many times. That would have been my choice when I had my ascending aortic aneurysm repaired. However, during the tests pre-surgery the surgeon determined that while I did have the aneurysm, my aortic valve was normal. He then went in and did a valve sparing repair of the aneurysm, a surgery known as a David-type repair. The result was that the part of the aorta that was damaged has been replaced, but I still retain my aortic valve.
P
PapaHappyStar
Hi Cory -- Surgeons with expertise in the Ross procedure can "jacket" the ascending aorta with the pulmonary autograft in place -- here is a post with a talk by one of the premier Ross surgeons in the US, he talks about replacing the asc. aorta in a patient with an aneurysm and a coarctation of the aorta -- for his cases for RP's involving the aortic arch mean time on deep hypothermic circulatory arrest was about 20 mins.
http://www.valvereplacement.com/forums/showpost.php?p=119572&postcount=1
Its a bit graphic in its images -- but I guess one might as well understand what is going to happen. I found it made me feel better to be able to abstract the procedure and make it somewhat less personal and scary. Almost everyone does well with the amount of control they can now exert over our responses in the OR.
These are good things to discuss with your surgeon if you are interested in the Ross Procedure:
-- Technique to prevent post op dilation ( dacron sheilds etc. )
-- Time on circ. arrest and techiques to ease transition into and out of circ. arrest and reduce neurological effects
All the best,
Burair
http://www.valvereplacement.com/forums/showpost.php?p=119572&postcount=1
Its a bit graphic in its images -- but I guess one might as well understand what is going to happen. I found it made me feel better to be able to abstract the procedure and make it somewhat less personal and scary. Almost everyone does well with the amount of control they can now exert over our responses in the OR.
These are good things to discuss with your surgeon if you are interested in the Ross Procedure:
-- Technique to prevent post op dilation ( dacron sheilds etc. )
-- Time on circ. arrest and techiques to ease transition into and out of circ. arrest and reduce neurological effects
All the best,
Burair
Turkey Hunter
Well-known member
coryp said:
Yes, It is very likely, not just possible.
I am an RP recipient who had an ascedning aortic aneurysm.
The key is to appropriately "build up" the aortic root to correspond to your pulmonic valve that is placed in your aortic position.
A hospital that is experienced with the Ross will bring this to your attention at the very begining.
If you are interested in the RP, take your time choosing your doc & surgeon. That is a key to th success of the procedure.
God Bless & good luck.
Ben
