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Endoscopic Procedures V: ERCP

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

Updated: Jan 15, 2026

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

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

Published on: April 1, 2022

EACTS Expert Consensus Statement on the Ross Procedure in Adult Patients.

Jan Vojacek¹, Jan Gofus¹, Martin Andreas²

¹Department of Cardiac Surgery, Charles University, Faculty of Medicine and University Hospital in Hradec Kralove, Hradec Kralove, Czech Republic.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery

|October 9, 2025

Summary

The Ross procedure, using a patient's pulmonary valve to replace the aortic valve, shows excellent long-term results for adults. This expert consensus supports its use as a first-line option for selected aortic valve disease patients.

Keywords:

Ross procedure adult cardiac surgery aortic valve replacement clinical practice document expert consensus statement pulmonary autograft

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Area of Science:

Cardiovascular Surgery
Thoracic Surgery
Valvular Heart Disease

Background:

The Ross procedure involves aortic valve replacement with a pulmonary autograft.
It demonstrates excellent long-term outcomes and restores life expectancy in adults.
Growing evidence supports its use for non-repairable aortic valve disease in younger adults.

Purpose of the Study:

To synthesize current evidence on the Ross procedure in adults.
To provide clinical statements for its application and implementation.
To address concerns regarding surgical complexity and long-term durability.

Main Methods:

Systematic review of existing evidence.
Expert consensus development by a multidisciplinary panel.
Critical appraisal of comparative outcome data and subgroup analyses.

Main Results:

The Ross procedure is a viable first-line option for selected adults.
Standardization, surgical expertise, and structured follow-up are crucial for success.
Evidence supports improved valve-related outcomes and restored life expectancy.

Conclusions:

This document aims to guide clinicians and Heart Teams in decision-making for the Ross procedure.
It emphasizes procedural standardization and high-volume expertise.
The goal is to improve outcomes for patients undergoing this complex surgery.