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Related Experiment Videos

Changing indications for the Ross operation

F Joyce1, J Tingleff, G Pettersson

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

Seminars in Thoracic and Cardiovascular Surgery
|October 1, 1996
PubMed
Summary
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The Ross operation, using autografts, shows promising results for complex aortic valve disease. This cardiac surgery offers unique advantages and low mortality, especially for patients with endocarditis or small aortic roots.

Area of Science:

  • Cardiovascular Surgery
  • Aortic Valve Replacement
  • Cardiac Transplantation

Background:

  • The Ross operation, or autograft aortic valve replacement, has been performed since 1992.
  • This technique is believed to offer unique advantages over alternative treatments for complex aortic valve disease.
  • The study reviews a series of 80 patients undergoing the Ross operation.

Observation:

  • The patient cohort ranged from 6 weeks to 71 years, including those with significant comorbidities.
  • Complicating conditions included endocarditis, prosthetic valve dysfunction, small aortic root, ascending aortic aneurysm, and previous cardiac surgeries.
  • Hospital mortality was 3.75% and late mortality was 1.25%.

Findings:

  • Autograft function was good or acceptable in 76 out of 80 patients, demonstrating stability at follow-up.

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  • Only three patients required reoperation due to autograft insufficiency or pulmonary homograft stenosis.
  • The Ross operation demonstrated encouraging early results, particularly for complex cases.

    • Implications:

    • The Ross operation may be the optimal choice for patients with complicated aortic valve pathology, including endocarditis and small aortic roots.
    • This surgical approach offers a viable alternative for patients with complex valvular and subvalvular stenosis.
    • Further research into long-term outcomes and patient selection for the Ross operation is warranted.