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The Ross procedure.

Manuel Concha1, Pedro J Aranda, Jaime Casares

  • 1Cardiovascular Surgery Department, Hopsital Universitario Reina Sofia, Cordoba, Spain.

Journal of Cardiac Surgery
|September 24, 2004
PubMed
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The Ross procedure, using a pulmonary autograft, is a viable aortic valve replacement option, especially for younger patients. Long-term success requires ongoing efforts to reduce autograft and homograft failure rates.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Valve Repair and Replacement

Background:

  • The pulmonary autograft concept for aortic valve replacement was developed by Donald Ross in 1967.
  • This review covers the historical, technical, and scientific aspects of the Ross procedure.

Purpose of the Study:

  • To review the advantages and disadvantages of the Ross procedure over several decades.
  • To present clinical experience with 92 patients who underwent the Ross procedure between 1997 and May 2003.

Main Methods:

  • Literature review to identify historical data on the Ross procedure.
  • Analysis of clinical outcomes from 92 patients operated on between 1997 and May 2003.

Main Results:

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  • The study included 92 patients (70.65% male, mean age 29.32 years), with 20 under 16 and 6 under 10.
  • Perioperative mortality was 2.17%. Freedom from reintervention at 5 years was 93.56%.
  • Complications included autograft dilatation and endocarditis, and homograft stenosis requiring intervention.

    • Conclusions:

    • The Ross procedure is a well-established surgical option with extensive worldwide experience.
    • It is considered the procedure of choice for pediatric patients, women of childbearing age, and certain adult groups.
    • Continued research is necessary to minimize long-term autograft and homograft failure.