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Updated: Feb 11, 2026

A Rodent Model of The Ross Operation: Syngeneic Pulmonary Artery Graft Implantation in A Systemic Position
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Ross Surgery: Our Experience.

Carolina Rodrigues1, Rui Cerejo1

  • 1Hospital de Santa Marta, Portugal.

Revista Portuguesa De Cirurgia Cardio-Toracica E Vascular : Orgao Oficial Da Sociedade Portuguesa De Cirurgia Cardio-Toracica E Vascular
|April 28, 2018
PubMed
Summary
This summary is machine-generated.

The Ross procedure, a cardiac surgery, shows positive mid and long-term outcomes with 81% freedom from reoperation and 9% cumulative mortality over a 12-year follow-up in selected patients.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Valve Surgery

Background:

  • The Ross procedure was first performed at Santa Marta Hospital in 1999.
  • A 17-year evaluation is necessary to assess mid- and long-term outcomes and future prospects.
  • This study analyzes the experience gained over 17 years.

Purpose of the Study:

  • To evaluate the mid- and long-term results of the Ross procedure.
  • To assess complications, reoperation rates, and mortality.
  • To prospect the future of this surgical technique.

Main Methods:

  • Retrospective analysis of 23 Ross procedures performed between March 1999 and June 2016.
  • Data collection included patient demographics, surgical outcomes, complications, reoperation status, and mortality.
  • Mean follow-up duration was 12 years.

Main Results:

  • The majority of patients presented with aortic stenosis (36.4%), aortic regurgitation (22.7%), or mixed aortic stenosis and regurgitation (27.3%).
  • 81% of patients were free from reoperation, with an overall cumulative mortality of 9%.
  • 80% of survivors were in New York Heart Association (NYHA) class I, and 20% were in class II, with no operative mortality.

Conclusions:

  • The Ross procedure is indicated for specific patient groups.
  • The mid- and long-term results in this series are positive and encouraging.
  • The advantages of the Ross procedure in selected patients are undeniable.