Low risks associated with subannular implantation with interrupted sutures

Implanting subannular interrupted sutures in children undergoing the Ross procedure is associated with acceptable risks, report researchers in a paper published on 28 April 2017 in the European Journal of Cardio-Thoracic Surgery.

Subannular implantation aims to address the concerns around dilatation of the pulmonary autograph in children undergoing the Ross procedure. Phan-Kiet Tran and colleagues at Great Ormond Street Hospital, UK retrospectively analysed the outcomes of 75 children aged 5 months–18 years who were operated on using the technique between 1998 and 2012.

All children survived the study and none had significant autograft stenosis. Freedom from moderate-to-severe regurgitation at 10 years was 88%. The children also had low incidence of annular dilation and autograft regurgitation, and the procedure delayed the need for autograft reintervention.

Original article: https://doi.org/10.1093/ejcts/ezx113