Older patients fare better with the Ross operation

Expanded polytetrafluoroethylene-valved conduit with bulging sinuses for right ventricular outflow tract reconstruction in adults

“…5 In adults, graft materials for RVOT reconstruction during the Ross procedure reported were homograft or stentless valves. 8,9 To the best of our knowledge, this is the fi rst report concerning the usefulness of ePTFE-valved conduits for RVOT reconstruction in only adult patients. Reported mean PGs in the pulmonary position have ranged from 9 to 15 mmHg with cryopreserved pulmonary homograft for RVOT reconstruction during the early/mid-term periods.…”

Operación de Ross en Chile

“…En adultos la durabilidad del homoinjerto es proporcional a la edad del recipiente. Podría esperarse que pacientes comparativamente ma yores no requieran reemplazo del homoinjerto pulmonar en cuyo caso la operación de Ross sería la operación definitiva 42 .…”

The Ross Procedure

“…Our preliminary data suggest that blood transfusions might play a role in the development of homograft stenosis 48 . Also, fewer older patients seem to reject the pulmonary homograft 49 . Again, MRI evaluation of the valvular dysfunction itself and of the repercussion on the right ventricle will help us to decide the timing and the type of intervention that suits more the individual patient.…”