{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:13:09Z","timestamp":1777878789576,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T00:00:00Z","timestamp":1761350400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We aim to elucidate the outcomes of patients who underwent a Ross II procedure at our institution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eight patients underwent a Ross II procedure at our institution between 2002 and 2008. Electronic medical records were queried to obtain demographic, procedural, and recent follow-up data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The mean follow-up time for this cohort is 17\u2009\u00b1\u20096.2 years, and the pulmonary autograft has stayed in place, on average, for 9.6\u2009\u00b1\u20098.3 years. At last follow-up, the average pulmonary autograft mean gradient was 6.1\u2009\u00b1\u20092.4\u2005mm Hg. No new mitral valve reoperations have been required since our last publication. Three early patients developed at least moderate pulmonary homograft (PH) regurgitation, although none of the patients in this cohort had significant PH stenosis at their last follow-up. None of the patients with a pulmonary homograft have required reintervention to date. There have been three deaths in this cohort, two of which were outlined in our previous study. More recently, Patient 2\u2014who underwent a Ross II procedure to surgically correct rheumatic mitral valve stenosis and regurgitation\u2014died 17 years after her operation due to complications of diabetic ketoacidosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>To our knowledge, this study represents the longest follow-up of a Ross II cohort ever reported, and the largest experience with the procedure in North America. The Ross II procedure offers a durable tissue alternative to conventional prosthetic valves for mitral valve replacement, particularly in younger patients, women of childbearing age, and those who have a contraindication to anticoagulation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/21501351251381265","type":"journal-article","created":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T19:06:09Z","timestamp":1761419169000},"page":"337-342","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Pulmonary Autograft Mitral Valve Replacement (Ross II Procedure): More Than Two Decades of Follow-up From a Single Center in the United States"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4600-1415","authenticated-orcid":false,"given":"Aeleia F.","family":"Hughes","sequence":"first","affiliation":[{"name":"Indiana University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark D.","family":"Rodefeld","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark W.","family":"Turrentine","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John W.","family":"Brown","sequence":"additional","affiliation":[{"name":"Indiana University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,25]]},"reference":[{"issue":"4","key":"e_1_3_2_2_2","first-page":"359","article-title":"Mitral valve replacement with a pulmonary autograft: initial experience","volume":"8","author":"Kabbani SS","year":"1999","unstructured":"Kabbani SS, Ross DN, Jamil H, et al. Mitral valve replacement with a pulmonary autograft: initial experience. J Heart Valve Dis. 1999;8(4):359\u2013366.","journal-title":"J Heart Valve Dis"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.08.028"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/2150135118792196"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/21501351251319792"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2007.05.056"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.11.063"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(01)00814-4"},{"key":"e_1_3_2_9_2","first-page":"149","article-title":"Mitral valve replacement with a pulmonary autograft in an infant","volume":"51","author":"Jeong YH","year":"2018","unstructured":"Jeong YH, Yun T. Mitral valve replacement with a pulmonary autograft in an infant. J Chest Surg. 2018;51:149\u2013152.","journal-title":"J Chest Surg"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(03)00785-2"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2011.01.049"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2023.09.036"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/aor.14664"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medj.2024.07.004"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2025.04.016"}],"container-title":["World Journal for Pediatric and Congenital Heart Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251381265","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/21501351251381265","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/21501351251381265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T23:27:58Z","timestamp":1777591678000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/21501351251381265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,25]]},"references-count":14,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/21501351251381265"],"URL":"https:\/\/doi.org\/10.1177\/21501351251381265","relation":{},"ISSN":["2150-1351","2150-136X"],"issn-type":[{"value":"2150-1351","type":"print"},{"value":"2150-136X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,25]]}}}