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Related Experiment Videos

The Ross operation: initial Israeli experience.

E Sharoni1, J Katz, O Dagan

  • 1Department of Thoracic and Cardiovascular Surgery, Schneider Children's Medical Center of Israel, Petah Tiqva, Israel.

The Israel Medical Association Journal : IMAJ
|May 11, 2000
PubMed
Summary

The Ross procedure, using a patient's own pulmonary valve for aortic valve replacement, shows excellent short-term results in young patients. This surgical option offers a promising alternative to artificial valves and homografts.

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Valvular Heart Disease

Background:

  • Aortic valve replacement in pediatric and young adult patients presents unique challenges.
  • The Ross procedure, utilizing autograft pulmonary valves, is a viable option for this demographic.

Purpose of the Study:

  • To evaluate the initial short-term outcomes of the Ross procedure in a young patient cohort.
  • To assess the efficacy and safety of aortic valve replacement with pulmonary autografts.

Main Methods:

  • A retrospective review of 40 patients (8 months to 41 years) who underwent the Ross procedure between January 1996 and June 1999.
  • Indications included congenital aortic valve disease, endocarditis, rheumatic fever, and outflow tract obstruction.
  • Echocardiography (trans-esophageal and transthoracic) was used for pre-operative, post-bypass, and follow-up assessments.

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Main Results:

  • No operative or late mortality was observed.
  • All patients achieved New York Heart Association functional class I, with no need for medication or complications.
  • No progression of autograft insufficiency or left ventricular outflow tract obstruction was noted; minor homograft issues occurred in a few patients.

Conclusions:

  • The Ross procedure demonstrates favorable short-term results in young patients.
  • It is an effective surgical alternative to prosthetic valves and homografts for aortic valve replacement.