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Quality Of Life After The Ross Procedure: A Cross-sectional Survey At A Single Center
Claudia Oeser, Keziban Uyanik-Uenal, Alfred Kocher, Guenther Laufer, Martin Andreas.
Medical University of Vienna, Vienna, Austria.

OBJECTIVE: Previous studies have shown that the Ross procedure provides good long-term outcomes. The Ross procedure avoids the need for anticoagulation, is associated with a low risk of thromboembolic events and endocarditis, and offers excellent valve hemodynamics and outstanding survival rates. Limited data exist on the quality of life. The aim of this study was to assess patients' health-related quality of life after the Ross procedure.
METHODS: Between 1991 and 2014, 224 patients ≥ 18 years of age underwent the Ross procedure at our center. All patients without Ross-related reintervention were invited to complete the 36-Item Short Form Health Survey (SF-36). The SF-36 contains 8 dimensions of subjective health. The maximum score of each dimension is 100, the minimum is 0. The higher the score, the better the quality of life. The patients' SF-36 scores were compared with that of the age- and sex-adjusted German standard sample of 1994.
RESULTS: Of the invited patients, 81.0% participated in the survey. 115 men (mean age 50.1 ± 11.3 years; range 24 to 75 years) and 30 women (mean age 52.1 ± 10.2 years; range 31 to 71 years) completed the SF-36 at a median time of 12.8 (interquartile range 6.2-17.8) years and 16.0 (interquartile range 6.7-19.3) years postoperatively, respectively. Figure 1 shows the mean SF-36 sores of the patients and the standard sample. Compared with the standard sample, male patients had significantly higher scores in “bodily pain” and “general health perception”, female patients had a significantly lower score in “role limitations due to emotional problems”. No significant differences were observed among the other 5 dimensions between patients and standard sample.
CONCLUSIONS: Patients enjoy a good health-related quality of life after the Ross procedure.


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