Abstract
The aim of the study: Report’s target was to compare the quality of life of two patients groups: First – 23 Ross patients, and second - 29 mechanical valve prostheses owners. Material and methods: Since 2009 the Ross procedure was performed in 29 patients.
Perioperative mortality 0%, survival rate 100%, pulmonary autograft and pulmonary allograft function remains excellent. From that series 23 patients (› 6 months after Ross) have been evaluated.
The control group was formed from 29 patients (of comparable profile) who underwent the aortic valve replacement with mechanical valve prosthesis. Results: In the group 1, higher average values in all 8 quality of life categories were found.
Significant difference was proved in categories of pain (P=0.030), physical function (P=0.025) and general health (P=0.002). Conclusions: On the basis of own results (mortality, survival rate, pulmonary autograft and allograft function in follow-up) the Ross procedure remains an alternative aortic valve replacement indication for active young and middle-aged patients in our department, mainly for those who must not/do not like anticoagulation.
Despite the possible risks the quality of life in Ross patients was found to be unequivocally higher in comparison with a mechanical valve prostheses owners.