什么是主动脉瓣?
罗斯手术, also called the pulmonary autograft procedure, is a type of heart surgery that treats aortic valve problems (the main valve that sends blood from your heart to your body) in 活跃的 patients ages 60 and younger.
You will receive general anesthesia to remain asleep throughout the operation. During the Ross procedure, your aortic disease surgeon will:
- make one long incision (cut) down the center of your chest (sternotomy incision) to access your heart.
- remove the aortic root, including your aortic valve and the blood vessels around it.
- remove your pulmonary root (valve that allows blood to flow from your heart to your lungs) and the main pulmonary artery and a small amount of muscle from your heart’s right ventricle.
- move and stitch the pulmonary valve into the aortic position.
- attach the coronary blood vessels to the pulmonary valve in its new position.
- replace your pulmonary valve with a donor valve.
罗斯手术要持续多久?
的 entire procedure takes six to eight hours.
罗斯程序的候选标准
You may be a candidate for the Ross procedure if you are 60 or younger, 活跃的, 没有主要的合并症, 和:
You must also have a well-functioning pulmonary valve to qualify for the Ross procedure. 大发娱乐的 surgeons use diagnostic tests to evaluate your heart valves before surgery, including:
For patients who are candidates for the Ross procedure, this technique has better outcomes than other types of artificial aortic valve replacement. Your aortic valve carries a high volume of blood. When you replace that valve with your own living valve, it works better than an artificial one and does not damage blood cells or cause clotting.
找一位主动脉疾病外科医生
罗斯程序优点 & 缺点
One of the most significant advantages of the Ross procedure is its excellent long-term survival rates and lower chance of postoperative deterioration. 其他福利包括：
- decreased need for blood thinners or anticoagulants,
- 再手术率低；
- 感染风险低，而且
- 没有运动不耐受或限制.
事实上, the Ross procedure is the only procedure for aortic valve replacement that brings your survival rate to a typical rate compared to an age-matched control population.
因为程序很复杂, Ross surgery is not a good treatment option for patients who have:
- 受损的肺动脉瓣或
- 多种并发症.
如何准备手术
Your surgeon will give you instructions to prepare for Ross surgery. You may need to stop taking certain medicines, 比如血液稀释剂, 手术前的一小段时间. You’ll need to avoid eating or drinking after midnight the night before surgery.
Ross过程恢复时间
You’ll stay in the hospital for up to one week after a Ross procedure. Immediately after the operation, you will stay in the intensive care unit (ICU) for one to two days. 的n you will move to a recovery room for another three to four days.
It takes up to three to four weeks to recover from a Ross procedure. You’ll avoid heavy lifting during this period. You’ll be able to walk when you leave the hospital and should gradually increase your activity levels after returning home.
罗斯手术并发症
的 immediate risk of complications from a Ross procedure is less than 2 percent. 可能的并发症包括：
- 出血,
- 心脏病发作，或
- 中风.
罗斯手术存活率
罗斯手术 has up to a 93 percent survival rate at 15 years after surgery. Ross procedure survival is better than the survival rates associated with using a tissue or mechanical valve to replace the aortic valve.
罗斯手术后的生活
You’ll need to monitor your blood pressure strictly after a Ross procedure. Your cardiologist will give you instructions to take your blood pressure at home every day.
You’ll need to keep your systolic pressure (the top number of your blood pressure measurement) under 110 for at least one year after the operation. You’ll see your cardiologist every few months in the first year after surgery. 在那之后, you’ll see your cardiologist at least once a year for the rest of your life to ensure your heart valves are still working properly.
为什么选择大发娱乐?
大发娱乐的 主动脉疾病外科医生 are among the most experienced, best surgeons in the Ross procedure in the Mountain West region. We have special training and expertise in performing this surgery in both children and adults. We are among the highest-volume centers in our region for aortic disease surgery.
It’s important to know what your options are for aortic disease treatment. 大发娱乐的 specialists offer a full range of treatment options and help you find the best solution for you.
安排谘询
得去看主动脉专家? First thing to do is get a referral from your primary care doctor. Once you have referral and have made an appointment, you can prepare for your appointment by:
- Letting your insurance know you have an appointment and reviewing your insurance coverage.
- 准备好你的病史.
请致电801-585-6740预约.
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联系目的地护理计划
的 目的地护理计划 is an initiative by U of U Health focusing on care for our out-of-state patients. We are here to help you find the services and information you need. 请随时与大发娱乐联系：
电子邮件: DestinationCare@hsc.犹他州.edu
电话: 801-587-6365