The Ross procedure using autologous support of the pulmonary autograft: Techniques and late results

Abstract

This inclusion method of pulmonary autograft implantation leads to minimal increases in aortic root size over time, with no reoperations for aortic root dilatation and a low requirement for aortic valve reoperation. The Ross procedure deserves to remain on the surgical menu for aortic valve replacement.

Aortic valve repair in pediatrics—time to swing the pendulum back?

“…Performed as a free-standing graft, a quarter of the pulmonary autograft fail within 2 decades imposing the need for a mechanical valve replacement (8). The inclusion techniques, which can only seldom be made in the children and young adolescents, may provide better results (9). An inclusion in a graft may be performed in adults only and it may be that there is a better age to perform the Ross procedure.…”

Pulmonary autograft in aortic position: is everything known?

“…Therefore, an inclusion cylinder technique with a native aorta or a synthetic external support, such as Dacron, might stabilize the autograft root and improve long-term outcomes (39,59).…”

The Ross procedure: Time to reevaluate the guidelines

“…Such data play a large role in the observation that patients undergoing the Ross procedure at experienced centers have the same life expectancy as age-and sex-matched control subjects from the general population. 2,3 Recent evidence suggest that patients undergoing the Ross procedure may even have better long-term survival than those undergoing mechanical AVR. 4 Several important studies have been published in the last few years demonstrating very good to excellent long-term results of the Ross procedure in large series of young adult patients needing AVR.…”