The Ross Procedure

Abstract

The Ross procedure is a mature concept with thousands of patients operated worldwide and a cumulative experience of over 30 years. Although we believe that it is the procedure of choice in the pediatric population, women in child-bearing age, and substantial subgroups of adult patients, efforts must continue to minimize the incidence of auto- and homograft failure in the long term.

Selective Application of the Pediatric Ross Procedure Minimizes Autograft Failure

“…While other series have included patients with prior interventions, the patients in this series are distinctive for the relatively high percentage of pre-Ross AV or root operations. 2,18,[20][21][22] This tendency again reflects a preference for not necessarily employing the Ross initially in the global management of these patients, but later when mortality is minimized and benefit maximized.…”

Functional Collagen Fiber Architecture of the Pulmonary Heart Valve Cusp

“…In the Ross procedure the defective AV is replaced with the patient's PV [6]. When placed in the aortic position, the pulmonary root withstands larger forces imposed on it by systemic pressures.…”

The Ross-Konno Procedure as Reoperative Treatment in a Young Adult with Congenital Aortic Stenosis

“…Young adults, especially with an active lifestyle, patients with contraindications for anticoagulation, women who wish to bear a child after the operation, infants, and adolescents are optimal candidates for pulmonary autograft replacement. Connective tissue disorders, autoimmune rheumatic diseases, and pulmonary valve abnormalities should contraindicate the performance of the Ross procedure [Concha 2004].…”