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Ross procedure.

¹Department of Cardiac Surgery, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.

HSR Proceedings in Intensive Care & Cardiovascular Anesthesia

|February 27, 2013

Summary

This summary is machine-generated.

The Ross procedure offers near-normal survival for adult patients undergoing aortic valve replacement. This 15-year study shows excellent hemodynamics and an acceptable reoperation rate for the subcoronary technique.

Keywords:

Ross procedure aortic valve replacement autograft survival

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Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Cardiac Valve Surgery

Background:

The subcoronary Ross procedure, introduced in 1967, involves transplanting the autologous pulmonary valve to the aortic position.
This study details a 15-year experience with the Ross procedure.

Purpose of the Study:

To evaluate the long-term outcomes of the subcoronary Ross procedure.
To assess survival rates, reoperation rates, and valve function after 15 years.

Main Methods:

A total of 576 subcoronary Ross procedures were performed.
Mean patient age was 45 years, with a mean follow-up of 7 years (up to 16 years).
Clinical and echocardiographic follow-up completeness was high (95% and 91%, respectively).

Main Results:

Operative mortality was low at 0.3% (2 deaths).
Survival rates were comparable to the normal population, with 87% freedom from reoperation at 15 years.
Excellent valve function was observed, with minimal regurgitation and low transvalvular pressure gradients in most patients.

Conclusions:

The subcoronary Ross procedure demonstrates near-normal survival in adult patients.
The technique provides excellent hemodynamics and an acceptable reoperation rate.
This supports the subcoronary Ross procedure as a viable option for aortic valve replacement.