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Should we still do the Ross operation in adults?
1Division of Cardiovascular and Thoracic Surgery, Missouri Baptist Medical Center, BJC Health System, 3009 North Ballas Road, St Louis, MO 63131, USA. ntkouch@aol.com
Current Opinion in Cardiology
|January 20, 2011
Summary
The Ross procedure shows excellent early results for aortic valve disease. However, long-term follow-up reveals autograft deterioration and reoperation needs, questioning its routine use in adults.
Area of Science:
- Cardiovascular Surgery
- Adult Cardiac Surgery
Background:
- The Ross procedure is a surgical technique for aortic valve disease.
- Assessing long-term outcomes is crucial for patient management.
Purpose of the Study:
- To update long-term results of the Ross procedure in adults.
- To define the current role of the Ross procedure in managing aortic valve disease.
Main Methods:
- Review of long-term outcomes of the Ross procedure.
- Analysis of reoperation rates and autograft durability.
Main Results:
- Excellent early outcomes observed.
- Significant autograft deterioration and reoperation required in a substantial percentage of patients after 10 years.
- Higher reoperation rates noted with the root replacement technique.
Conclusions:
- The Ross procedure should not be routinely performed in adult patients.
- Further data on alternative techniques and autograft implantation methods are needed.
- Long-term efficacy and safety of the Ross procedure require continued investigation.
