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Updated: Feb 13, 2026
11:20
A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position
Published on: April 1, 2022
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The Ross Operation in the Adult: What, Why, and When?
Michael Ibrahim1, Audrey E Spelde2, Timothy I Carter1
1Division of Cardiovascular Surgery, University of Pennsylvania, Philadelphia, PA.
Journal of Cardiothoracic and Vascular Anesthesia
|March 12, 2018
Summary
The Ross procedure, using a pulmonary autograft to replace the aortic valve, offers excellent long-term survival and quality of life. Despite concerns, this cardiac surgery technique is a viable option for adult patients.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Adult Cardiac Surgery
Background:
- The aortic valve is a complex structure difficult to replace with current technology.
- The Ross procedure, utilizing a pulmonary autograft, is an established technique for aortic valve replacement.
- Widespread adoption in adults is limited by perceived technical challenges and potential complications.
Purpose of the Study:
- To review existing data on the Ross procedure in adult patients.
- To address concerns regarding technical difficulty, perioperative care, and long-term outcomes.
- To clarify the role of the Ross procedure in adult cardiac surgery.
Main Methods:
- Review of existing literature and clinical data.
- Analysis of long-term survival, reoperation rates, and quality of life.
- Evaluation of complications such as pulmonic valve disease and neo-aortic root dilatation.
Main Results:
- Substantial data demonstrate excellent long-term survival following the Ross procedure.
- Patients experience freedom from reoperation and improved quality of life.
- Concerns about long-term outcomes are often not supported by evidence.
Conclusions:
- The Ross procedure provides favorable long-term results in adult cardiac surgery.
- Evidence contradicts common preconceptions regarding its risks and complications.
- The procedure remains a valuable option for select adult patients requiring aortic valve replacement.
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