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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.
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.
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.
