Ross operation in current practice of aortic surgeons

Area of Science:

• Cardiovascular Surgery
• Aortic Valve Disease Treatment

Background:

• The Ross procedure, introduced in 1967, has faced historical controversy in adult aortic valve disease treatment.
• Its practice declined significantly by the early 2000s, with limited surgeon experience.
• Despite this, specialized centers maintained and refined the procedure.

Purpose of the Study:

• To review the current status and landscape of the Ross procedure in contemporary aortic surgery.
• To address the renewed interest in this surgical option for aortic valve disease.

Main Methods:

• Literature review of contemporary studies and practices.
• Analysis of the evolution and current standing of the Ross procedure.
• Discussion of centers of excellence and surgeon training.

Main Results:

• The Ross procedure, though historically controversial, is seeing a resurgence in interest.
• A small number of specialized centers have continued to master and perform the procedure.
• Contemporary literature is driving this renewed focus on the Ross procedure.

Conclusions:

• The Ross procedure remains a viable, albeit specialized, option in aortic surgery.
• Centers of excellence play a crucial role in maintaining expertise.
• Ongoing research and discussion are reshaping the perception and application of the Ross procedure.