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Related Experiment Videos

The Ross Procedure: current registry results

J H Oury1, S P Hiro, J M Maxwell

  • 1The International Heart Institute of Montana Foundation, Missoula 59808, USA. oury@sph.hbocvan.com

The Annals of Thoracic Surgery
|February 4, 1999
PubMed
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The Ross Procedure, a pulmonary autograft for aortic valve disease, shows low reoperation rates and decreasing right ventricular outflow tract revisions. Continued surgeon participation is vital for long-term outcome analysis.

Area of Science:

  • Cardiovascular Surgery
  • Thoracic Surgery
  • Heart Valve Repair & Replacement

Background:

  • The pulmonary autograft (Ross Procedure) was developed in 1967 for aortic valve disease.
  • Increased interest followed 1987 publications, leading to the 1993 International Registry of the Ross Procedure.
  • The registry aims to examine long-term clinical outcomes of this surgical technique.

Purpose of the Study:

  • To analyze longitudinal clinical outcomes of the Ross Procedure.
  • To assess reoperation rates for autograft failure and pulmonary homograft status.
  • To track right ventricular outflow tract revision rates.

Main Methods:

  • Data collected from the International Registry of the Ross Procedure.
  • Registry includes 2,523 patients from 122 centers and 166 surgeons.

Related Experiment Videos

  • Analysis of mortality, reoperation incidence, and revision rates.

    • Main Results:

    • Overall mortality reported is 2.5% with 70% follow-up.
    • Low incidence of reoperation for valve-related issues (5.4%) and autograft explant (1.9%).
    • Right ventricular outflow tract revision rate is 2.8%, decreasing to 1.3% in recent cases.

    Conclusions:

    • Registry data suggest success for the Ross Procedure, supported by other series.
    • 70% follow-up limits rigorous outcome analysis.
    • Sustained surgeon and coordinator effort is crucial for registry success and long-term data collection.