{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T00:00:56Z","timestamp":1792800056694,"version":"4.5.0"},"reference-count":30,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2013,3,12]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      The\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      oss procedure in children carries substantial mortality and reoperation rate. Aortic root dilatation is of concern. To prevent dilatation of the neoaortic root, but permit normal growth, we began to apply an absorbable poly\u2010(\n                      <jats:italic>p<\/jats:italic>\n                      \u2010dioxanone)\u2010filaments (\n                      <jats:styled-content style=\"fixed-case\">PDS<\/jats:styled-content>\n                      ) band at the sino\u2010tubular (\n                      <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n                      )\u2010junction.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      All children (n=100) who underwent\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      oss procedure during 1995\u20132012 were studied. Mean age at operation was 8.6\u00b16.1\u00a0years (median 8.3\u00a0years, range 3\u00a0days to 18\u00a0years); 19 patients were younger than 1\u00a0year of age. The root replacement (n=91,\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      oss\u2010\n                      <jats:styled-content style=\"fixed-case\">K<\/jats:styled-content>\n                      onno procedure in 29 patients), root inclusion (n=6), and subcoronary implantation (n=3) techniques were used. Operative mortality was 6% (6\/100, 4 neonates, 2 infants). Age of &lt;1\u2010year at time of operation was a risk factor for early death (\n                      <jats:italic>P<\/jats:italic>\n                      &lt;0.001). Mean follow\u2010up time was 7.0\u00b14.8\u00a0years (median 7.4\u00a0years, range 5\u00a0days to 16\u00a0years). Late mortality was 4.3% (4\/94). Freedom from moderate or greater neoaortic valve insufficiency (\n                      <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\n                      ) at 5 and 10\u00a0years was 89% and 83%, respectively. Freedom from neoaortic valve reoperation at 5 and 10\u00a0years was 96% and 86%, respectively. Aortic dilatation to Z\u2010score &gt;4 was greatest at the\n                      <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n                      \u2010junction (23%, 11\/48) compared to the aortic annulus (17%, 11\/66) and sinuses (14%, 7\/50). Since 2001, a\n                      <jats:styled-content style=\"fixed-case\">PDS<\/jats:styled-content>\n                      band was placed around the\n                      <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n                      \u2010junction in 19 patients. Survivors with the\n                      <jats:styled-content style=\"fixed-case\">PDS<\/jats:styled-content>\n                      band had less\n                      <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\n                      (0 versus 20%,\n                      <jats:italic>P<\/jats:italic>\n                      =0.043) compared to survivors (n=35) without the\n                      <jats:styled-content style=\"fixed-case\">PDS<\/jats:styled-content>\n                      at 4.1\u00b13\u00a0years.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">\n                      The\n                      <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                      oss procedure in children can be performed with acceptable results. Children younger than 1 year of age have higher mortality, but not an increased autograft reoperation rate. Stabilization of the\n                      <jats:styled-content style=\"fixed-case\">ST<\/jats:styled-content>\n                      \u2010junction may reduce\n                      <jats:styled-content style=\"fixed-case\">AI<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.113.000153","type":"journal-article","created":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T12:49:31Z","timestamp":1369399771000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":46,"title":["Ross Procedure in Children: 17\u2010Year Experience at a Single Institution"],"prefix":"10.1161","volume":"2","author":[{"given":"Sharman P.","family":"Tan Tanny","sequence":"first","affiliation":[{"name":"Royal Children's Hospital, Melbourne, Australia"},{"name":"University of Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew S.","family":"Yong","sequence":"additional","affiliation":[{"name":"Royal Children's Hospital, Melbourne, Australia"},{"name":"University of Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yves","family":"d'Udekem","sequence":"additional","affiliation":[{"name":"Royal Children's Hospital, Melbourne, Australia"},{"name":"University of Melbourne, Australia"},{"name":"Murdoch Children's Research Institute, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remi","family":"Kowalski","sequence":"additional","affiliation":[{"name":"Royal Children's Hospital, Melbourne, Australia"},{"name":"University of Melbourne, Australia"},{"name":"Murdoch Children's Research Institute, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gavin","family":"Wheaton","sequence":"additional","affiliation":[{"name":"Women's and Children's Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luigi","family":"D'Orsogna","sequence":"additional","affiliation":[{"name":"Princess Margaret Hospital for Children, Perth, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Galati","sequence":"additional","affiliation":[{"name":"Murdoch Children's Research Institute, Melbourne, Australia"},{"name":"Department of Mathematics and Statistics, La Trobe University, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian P.","family":"Brizard","sequence":"additional","affiliation":[{"name":"Royal Children's Hospital, Melbourne, Australia"},{"name":"University of Melbourne, Australia"},{"name":"Murdoch Children's Research Institute, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Igor E.","family":"Konstantinov","sequence":"additional","affiliation":[{"name":"Royal Children's Hospital, Melbourne, Australia"},{"name":"University of Melbourne, Australia"},{"name":"Murdoch Children's Research Institute, Melbourne, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(67)90794-5"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.07.005"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.925800"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.06.083"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.02.107"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1067\/mtc.2002.119705"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.104.524975"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2007.07.047"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2009.10.032"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2010.12.070"},{"key":"e_1_3_3_12_2","first-page":"269","article-title":"Superior results following the Ross procedure in patients with congenital heart disease","volume":"19","author":"Alsoufi B","year":"2010","unstructured":"Alsoufi B, Al\u2010Halees Z, Manlhiot C, McCrindle BW, Kandeel M, Al\u2010Joufan M, Kalloghlian A, Fadel B, Canver CC. 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