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Anatomic and physiologic bases for the Ross procedure

L Gonzalez-Lavin1, D Metras, D N Ross

  • 1Division of Cardiothoracic Surgery, Marshall University School of Medicine, Huntington, WV, USA.

The Journal of Heart Valve Disease
|July 1, 1996
PubMed
Summary
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The Ross procedure (RP) for aortic valve replacement (AVR) has evolved significantly since its inception. This analysis explores its anatomical, physiological, and historical basis, supporting its established efficacy.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Surgical Innovation

Background:

  • The Ross procedure (RP) is a complex aortic valve replacement (AVR) technique.
  • Understanding its historical development and scientific underpinnings is crucial for its continued application.
  • Early experimental work and clinical trials paved the way for its eventual acceptance.

Purpose of the Study:

  • To analyze the historical evolution of the Ross procedure (RP).
  • To examine the anatomical and physiological bases supporting the RP for aortic valve replacement (AVR).
  • To discuss current indications and contraindications for the RP.

Main Methods:

  • Review of historical experimental and clinical data related to the RP.
  • Comparative analysis of anatomical and physiological features of the pulmonary valve (PV) and aortic valve (AV).

Related Experiment Videos

  • Examination of studies on ventricular septum blood supply, PV properties, and hemodynamic function.

    • Main Results:

    • The RP's development spans decades, with key contributions from various researchers.
    • The pulmonary valve (PV) possesses suitable anatomical and physiological characteristics for AVR.
    • Evidence supports the PV's ability to grow and maintain hydraulic function post-implantation.

    Conclusions:

    • The Ross procedure (RP) has a strong foundation in anatomical and physiological research.
    • Decades of research and clinical experience support the RP as a viable aortic valve replacement (AVR) option.
    • Further understanding of the RP's basis informs its appropriate clinical use.