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The Ross procedure in children

V M Reddy1, D B McElhinney, F L Hanley

  • 1Division of Cardiothoracic Surgery, University of California, San Francisco, USA.

Israel Journal of Medical Sciences
|October 1, 1996
PubMed
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The Ross procedure, using a pulmonary autograft for aortic valve replacement in children, shows excellent long-term results with high freedom from reoperation and minimal aortic insufficiency. This technique offers a unique growth potential for pediatric patients with congenital heart disease.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Congenital Heart Disease

Background:

  • The Ross procedure involves aortic valve replacement using a patient's own pulmonary valve (autograft).
  • Widespread interest in the Ross procedure for pediatric aortic valve disease has emerged recently.
  • The procedure offers potential for growth, crucial for pediatric patients.

Purpose of the Study:

  • To evaluate the efficacy and long-term outcomes of the Ross procedure in pediatric patients.
  • To assess the need for reoperation and the incidence of autograft insufficiency.
  • To determine the suitability of the Ross procedure for complex congenital heart conditions.

Main Methods:

  • The Ross procedure was performed on 46 patients, with 40 being 18 years or younger.

Related Experiment Videos

  • Combined procedures included Konno ventriculoplasty (10 patients) and Ross-Konno for hypoplastic left heart syndrome (3 patients).
  • Follow-up ranged from 1 to 38 months, with a median of 22 months.

    • Main Results:

    • No late mortality was observed.
    • Freedom from reoperation at 30 months was 89%.
    • Most patients exhibited trace or no aortic insufficiency, with only one case of moderate insufficiency and eight of mild regurgitation.

    Conclusions:

    • The Ross procedure is a significant advancement for treating pediatric aortic valve disease.
    • The pulmonary autograft demonstrates durability in the systemic circulation.
    • The procedure provides a viable aortic valve replacement with inherent growth potential for children.