{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T00:15:00Z","timestamp":1769559300458,"version":"3.49.0"},"reference-count":27,"publisher":"Akademiai Kiado Zrt.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orvosi Hetilap"],"published-print":{"date-parts":[[2013,2]]},"abstract":"<jats:p>Introduction: The surgical strategy to manage multilevel left ventricular outflow tract diseases is changing constantly, however, the Ross-procedure has remained a standard method for 45 years. Aim: The aim of the study was to analyze early and mid-term results of Ross-procedure in congenital heart defects (single surgeon\u2019s results). Methods: From 2001 until 2011 a total of 63 patients (age, 28 days\u201321 years; mean: 10 years, weight 3.4\u201396 kg; mean, 8.8 kg) underwent Ross (n = 40), Ross\u2013Konno (n = 17) or Ross\u2013Konno-mitral (n = 6) procedures. Indication for Ross procedure was aortic regurgitation in 15 patients (associated with ventricular septum defect in 8 patients) and a predominant aortic stenosis in 25 patients. 17 patients with severe left ventricular outflow tract obstruction underwent Ross\u2013Konno procedure. 6 patients with concomitant mitral valve disease (Shone syndrome, 3 patients; complete atrioventricular septal defect, 3 patients) were reconstructed by Ross\u2013Konno-mitral valve procedure. Results: Among Ross patients there were one early (cerebral complication) and one late death (homograft endocarditis) with a mean follow-up time of 7.4\u00b11.8 years. Because of an early autograft endocarditis a 3-year-old boy underwent homograft implantation and was treated successfully with Bentall-procedure 9 years later. One patient with autograft regurgitation is waiting for reoperation. Among Ross\u2013Konno patients there was no early or late death, and none of the patients underwent reoperation. In Ross\u2013Konno-mitral patients there was one early death (28-day-old boy) and during a mean follow-up time of 2.5\u00b11 years, and no reintervention or reoperation was needed in 5 patients. Conclusions: The results indicate a good outcome of Ross-, Ross\u2013Konno-, Ross\u2013Konno-mitral procedures in patients with congenital heart defects when surgery is performed by a highly experienced heart surgeon. In newborns, infants and small children Ross- and Ross\u2013Konno procedures are the only methods for managing left ventricular outflow tract diseases. Concomitant severe mitral disease adds a high level of technical complexity to the Ross\u2013Konno\/mitral procedure, but it should be balanced against alternative strategies (eg. single ventricle palliation or transplantation). Orv. Hetil., 2013, 154, 219\u2013224.<\/jats:p>","DOI":"10.1556\/oh.2013.29544","type":"journal-article","created":{"date-parts":[[2013,2,4]],"date-time":"2013-02-04T12:20:03Z","timestamp":1359980403000},"page":"219-224","source":"Crossref","is-referenced-by-count":2,"title":["The role of Ross procedure in the management of congenital heart defects"],"prefix":"10.1556","volume":"154","author":[{"given":"Istv\u00e1n","family":"Harty\u00e1nszky","sequence":"first","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Gyermeksz\u00edvk\u00f6zpont Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andr\u00e1s","family":"Koll\u00e1r","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Gyermeksz\u00edvk\u00f6zpont Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krisztina","family":"K\u00e1d\u00e1r","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Gyermeksz\u00edvk\u00f6zpont Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e1szl\u00f3","family":"Ablonczy","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Gyermeksz\u00edvk\u00f6zpont Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edit","family":"Nov\u00e1k","sequence":"additional","affiliation":[{"name":"Gottsegen Gy\u00f6rgy Orsz\u00e1gos Kardiol\u00f3giai Int\u00e9zet Gyermeksz\u00edvk\u00f6zpont Budapest Haller u. 29. 1096"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Attila","family":"T\u00f3th","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar Kardiol\u00f3giai Tansz\u00e9k Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","first-page":"100","article-title":"Aortic root abscess after a Ross operation successfuly treated with homograft implantation in childhood. 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