Ross Procedure Renaissance: A Contemporary Review of Patient Selection, Technique, and Long-Term Outcomes in Adults

Renewed interest in the Ross procedure, driven by compelling evidence of superior long-term outcomes, has led to increased international use. This review outlines a comprehensive framework for understanding the Ross procedure within the broader context of aortic valve replacement. Topics include procedural overview, patient selection and contraindications, diagnostic imaging, technical modifications to promote durability, clinical outcomes, postoperative management, and future directions. The Ross procedure remains the only valve replacement strategy capable of restoring life expectancy in selected young and middle-aged adults, making it an imperative option for multidisciplinary consideration.