Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-27T02:51:50.289Z Has data issue: false hasContentIssue false
  • English
  • Français

Bovine jugular vein conduit versus pulmonary homograft in the Ross operation

Published online by Cambridge University Press:  18 December 2019

Parth M. Patel Open the ORCID record for Parth M. Patel [Opens in a new window] ,
Jeremy L. Herrmann ,
Mark D. Rodefeld ,
Mark W. Turrentine  and
John W. Brown
Parth M. Patel*
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Indiana University School of Medicine, Indianapolis, IN, USA
Jeremy L. Herrmann
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Indiana University School of Medicine, Indianapolis, IN, USA Riley Children’s Health, Indiana University Health, Indianapolis, IN, USA
Mark D. Rodefeld
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Indiana University School of Medicine, Indianapolis, IN, USA Riley Children’s Health, Indiana University Health, Indianapolis, IN, USA
Mark W. Turrentine
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Indiana University School of Medicine, Indianapolis, IN, USA Riley Children’s Health, Indiana University Health, Indianapolis, IN, USA
John W. Brown
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Indiana University School of Medicine, Indianapolis, IN, USA Riley Children’s Health, Indiana University Health, Indianapolis, IN, USA
*
Author for correspondence: P. M. Patel, MD, Department of Surgery, Division of Cardiothoracic Surgery, Indiana University School of Medicine, 545 Barnhill Drive, Indianapolis, IN 46202, USA. Tel: (317) 507-29022; Fax: (317) 647-4364; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

The Ross procedure involves using the native pulmonary valve for aortic valve replacement then replacing the pulmonary valve with an allograft or xenograft. We aimed to compare our age-matched experience with the bovine jugular vein conduit and the pulmonary homograft for pulmonary valve replacement during the Ross procedure in children.

Methods:

Between 1998 and 2016, 15 patients <18 years of age underwent a Ross procedure using the bovine jugular vein conduit (Ross-Bovine Jugular Vein Conduit) at our institution. These patients were age-matched with 15 patients who had the Ross operation with a standard pulmonary homograft for right ventricular outflow tract reconstruction (Ross-Pulmonary Homograft). Paper and electronic medical records were retrospectively reviewed.

Results:

The median age of the Ross-Bovine Jugular Vein Conduit and Ross-Pulmonary Homograft patients were 4.8 years (interquartile range 1.1–6.6) and 3.3 years (interquartile 1.2–7.6), respectively (p = 0.6). The median follow-up time for the Ross-Bovine Jugular Vein Conduit and Ross-Pulmonary Homograft groups were 1.7 years (interquartile range 0.5–4.9) and 6.8 years (interquartile range 1.9–13.4), respectively (p = 0.03). Overall, 5-year survival, freedom from redo aortic valve replacement, and freedom from pulmonary valve replacement were similar between groups.

Conclusion:

The bovine jugular vein conduit and pulmonary homograft have favourable mid-term durability when used for right ventricular outflow tract reconstruction for the Ross operation. The bovine jugular vein conduit may be a suitable replacement for appropriately sized patients undergoing a Ross aortic valve replacement, though longer follow-up is needed.

Keywords

Bovine jugular vein conduitpulmonary homograftRoss operation
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 3 , March 2020 , pp. 323 - 327
Copyright
© Cambridge University Press 2019

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

*

Poster presentation at the 6th Scientific Meeting of the World Society Pediatric and Congenital Heart Surgery and 18th International Symposium on Congenital Heart Disease Orlando, FL, USA, 24 July, 2018

References

Ross, DN.Replacement of aortic and mitral valves with a pulmonary autograft. Lancet 1967; 2: 956–958.CrossRefGoogle ScholarPubMed
Pasquali, SK, Shera, D, Wernovsky, G, et al.Midterm outcomes and predictors of reintervention after the Ross procedure in infants, children, and young adults. J Thorac Cardiovasc Surg 2007; 133: 893–899.CrossRefGoogle ScholarPubMed
Luciani, GB, Lucchese, G, Carotti, A, et al.Two decades of experience with the Ross operation in neonates, infants and children from the Italian Paediatric Ross Registry. Heart 2014; 100: 1954–1959.CrossRefGoogle ScholarPubMed
Schneider, AW, Putter, H, Klautz, RJM, et al.Long-term follow-up after the Ross procedure: a single center 22-year experience. Ann Thorac Surg 2017; 103: 1976–1983.CrossRefGoogle ScholarPubMed
Wallace, RB, Rastelli, GC, Ongley, PA, Titus, JL, McGoon, DC.Complete repair of truncus arteriosus defects. J Thorac Cardiovasc Surg 1969; 57: 95–107.10.1016/S0022-5223(19)42765-7CrossRefGoogle ScholarPubMed
Fuller, DN, Marchand, P, Zion, MM, Zwi, S.Homograft replacement of the pulmonary valve. Thorax 1966; 21: 337–342.CrossRefGoogle ScholarPubMed
Wells, WJ, Arroyo, H, Jr., Bremner, RM, Wood, J, Starnes, VA.Homograft conduit failure in infants is not due to somatic outgrowth. J Thorac Cardiovasc Surg 2002; 124: 88–96.CrossRefGoogle Scholar
Karamlou, T, Blackstone, EH, Hawkins, JA, et al.Can pulmonary conduit dysfunction and failure be reduced in infants and children less than age 2 years at initial implantation? J Thorac Cardiovasc Surg 2006; 132: 829–838.CrossRefGoogle ScholarPubMed
Prior, N, Alphonso, N, Arnold, P, et al.Bovine jugular vein valved conduit: up to 10 years follow-up. J Thorac Cardiovasc Surg 2011; 141: 983–987.CrossRefGoogle ScholarPubMed
Ruzmetov, M, Shah, JJ, Geiss, DM, Fortuna, RS.Decellularized versus standard cryopreserved valve allografts for right ventricular outflow tract reconstruction: a single-institution comparison. J Thorac Cardiovasc Surg 2012; 143: 543–549.CrossRefGoogle ScholarPubMed
Sarikouch, S, Horke, A, Tudorache, I, et al.Decellularized fresh homografts for pulmonary valve replacement: a decade of clinical experience. Eur J Cardiothorac Surg 2016; 50: 281–290.CrossRefGoogle ScholarPubMed
Cebotari, S, Tudorache, I, Ciubotaru, A, et al.Use of fresh decellularized allografts for pulmonary valve replacement may reduce the reoperation rate in children and young adults: early report. Circulation 2011; 124 (Suppl 11): S115–123.CrossRefGoogle Scholar
Schoenhoff, FS, Loup, O, Gahl, B, et al.The Contegra bovine jugular vein graft versus the Shelhigh pulmonic porcine graft for reconstruction of the right ventricular outflow tract: a comparative study. J Thorac Cardiovasc Surg 2011; 141: 654–661.CrossRefGoogle ScholarPubMed
Sierra, J, Christenson, JT, Lahlaidi, NH, Beghetti, M, Kalangos, A.Right ventricular outflow tract reconstruction: what conduit to use? Homograft or Contegra? The Ann Thorac Surg 2007; 84: 606–610; discussion 610-601.CrossRefGoogle ScholarPubMed
Konuma, T, Devaney, EJ, Bove, EL, et al.Performance of CryoValve SG decellularized pulmonary allografts compared with standard cryopreserved allografts. Ann Thorac Surg 2009; 88: 849–854; discussion 554-845.CrossRefGoogle ScholarPubMed
Brown, JW, Ruzmetov, M, Rodefeld, MD, Turrentine, MW.Right ventricular outflow tract reconstruction in Ross patients: does the homograft fare better? Ann Thorac Surg 2008; 86: 1607–1612.CrossRefGoogle ScholarPubMed
Rodefeld, MD, Ruzmetov, M, Turrentine, MW, Brown, JW.Reoperative right ventricular outflow tract conduit reconstruction: risk analyses at follow up. J Heart Valve Dis 2008; 17: 119–126; discussion 126.Google ScholarPubMed
Patel, PM, Tan, C, Srivastava, N, et al.Bovine jugular vein conduit: a mid- to long-term institutional review. World J Pediatr Congenit Heart Surg 2018; 9: 489–495.CrossRefGoogle ScholarPubMed
Horer, J, Stierle, U, Bogers, AJ, et al.Re-interventions on the autograft and the homograft after the Ross operation in children. Eur J Cardiothorac Surg 2010; 37: 1008–1014.CrossRefGoogle ScholarPubMed
Karamlou, T, Ungerleider, RM, Alsoufi, B, et al.Oversizing pulmonary homograft conduits does not significantly decrease allograft failure in children. Eur J Cardiothorac Surg 2005; 27: 548–553.CrossRefGoogle Scholar
Mery, CM, Guzman-Pruneda, FA, De Leon, LE, et al.Risk factors for development of endocarditis and reintervention in patients undergoing right ventricle to pulmonary artery valved conduit placement. J Thorac Cardiovasc Surg 2016; 151: 432–439, 441 e431-432.CrossRefGoogle ScholarPubMed
Beckerman, Z, De Leon, LE, Zea-Vera, R, Mery, CM, Fraser, CD, Jr. High incidence of late infective endocarditis in bovine jugular vein valved conduits. J Thorac Cardiovasc Surg 2018; 156: 728–734 e722.CrossRefGoogle ScholarPubMed
Ugaki, S, Rutledge, J, Al Aklabi, M, Ross, DB, Adatia, I, Rebeyka, IM.An increased incidence of conduit endocarditis in patients receiving bovine jugular vein grafts compared to cryopreserved homograft for right ventricular outflow reconstruction. Ann Thorac Surg 2015; 99: 140–146.CrossRefGoogle ScholarPubMed
Zimmermann, C, Attenhofer Jost, C, Pretre, R, et al.Mid-term outcome of 100 consecutive Ross procedures: excellent survival, but yet to be a cure. Pediatr Cardiol 2018; 39: 595–603.CrossRefGoogle ScholarPubMed