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Related Experiment Videos

Expanding indications for the Ross operation

F Joyce1, J Tingleff, G Pettersson

  • 1Department of Cardiothoracic Surgery, National University Hospital-Rigshospitalet, Copenhagen, Denmark.

The Journal of Heart Valve Disease
|July 1, 1995
PubMed
Summary
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The Ross operation for aortic valve disease shows promising results with low mortality and morbidity in a diverse patient group. This aortic root replacement technique is considered a viable option for many patients, especially those under 65.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Cardiac Valve Surgery

Background:

  • Aortic valve disease affects a wide age range, from infants to adults.
  • Complex cases include endocarditis, prosthetic valve dysfunction, and congenital defects.
  • The Ross operation involves aortic root replacement using the patient's own pulmonary autograft.

Purpose of the Study:

  • To evaluate the outcomes of the Ross operation in a broad patient population.
  • To assess the safety and efficacy of this procedure in complex cases.
  • To determine the suitability of the Ross operation for various aortic valve pathologies.

Main Methods:

  • Performed 50 free-standing total aortic root replacements using the Ross operation.
  • Included a diverse patient cohort with various complicating conditions.

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  • Collected data on mortality, morbidity, and specific complications.

    • Main Results:

    • Low operative mortality (2%) and minimal major morbidity observed.
    • Complications included autograft insufficiency (n=3) and pulmonary homograft stenosis (n=2).
    • The procedure was successful in a broad range of patients, including children and adults with complex conditions.

    Conclusions:

    • The Ross operation is an encouraging procedure for aortic valve disease with favorable outcomes.
    • It is considered a potential operation of choice for patients under 60-65 and those with endocarditis.
    • Contraindications include Marfan's syndrome, and caution is advised for rheumatic heart disease.