The Ross procedure

Journal of Cardiac Surgery
M ConchaRafael Villalba

Abstract

The search for the ideal substitute for the aortic valve led Donald Ross to develop the pulmonary autograft concept in 1967. A historical, technical, and scientific review of this surgical option is presented together with our clinical experience. The literature is reviewed to identify the advantages and pitfalls of the Ross procedure over the last decades. We also present our clinical experience with 92 patients operated between 1997 and May 2003. Of the total, 70.65% (n = 65) were males, mean age was 29.32 +/- 11.9 years, with 20 patients under 16 and 6 patients under 10 years. Twenty-five patients (27.17%) had 31 previous interventions. There were 41 associated procedures in 34 patients. Perioperative mortality was 2.17% (two patients). Eight patients required reexploration for bleeding, one required an aortocoronary bypass, and one a permanent pacemaker. Follow-up was 97% with 2.71 patients/year (average 32.55 +/- 19.01 months). Two patients required autograft replacement, one suffered a 44-mm dilatation of the autograft, and one 13-year-old girl developed autograft endocarditis. Six patients suffered severe homograft stenosis (>50 mmHg), two were treated percutaneously, and one required replacement. Combined freedom from r...Continue Reading

References

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Citations

Mar 28, 2009·The Annals of Thoracic Surgery·Erinn M JoyceMichael S Sacks
Apr 9, 2005·Seminars in Thoracic and Cardiovascular Surgery. Pediatric Cardiac Surgery Annual·Matthew SlaterRoss Ungerleider
Nov 29, 2008·Congenital Heart Disease·David L S MoralesCharles D Fraser
Jul 26, 2005·The Annals of Thoracic Surgery·Arkalgud Sampath KumarRajvir Singh
Dec 22, 2005·The Annals of Thoracic Surgery·D Glenn Pennington
Nov 25, 2005·The Annals of Thoracic Surgery·Giovanni Battista LucianiAlessandro Mazzucco
Jul 7, 2005·The Journal of Thoracic and Cardiovascular Surgery·Sebastian-Patrick SommerUwe Klima
Feb 11, 2015·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Merja KallioIlkka Mattila
Oct 26, 2005·The Annals of Thoracic Surgery·Johanna J M TakkenbergAd J J C Bogers
Aug 25, 2012·The Heart Surgery Forum·Fotios A MitropoulosConstantine E Anagnostopoulos
Jul 23, 2016·Journal of the American College of Cardiology·Uri ElkayamCandice K Silverside
Apr 8, 2006·Current Opinion in Cardiology·Kelly M McLeanJeffrey M Pearl
Oct 4, 2007·Annals of the New York Academy of Sciences·Zéra Tellier
Feb 22, 2012·Expert Opinion on Biological Therapy·Juan Javier ServatJohn J Huang

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