The Ross procedure is an excellent operation to treat children and adults with aortic
valve disease. Compared to prosthetic aortic valve replacement, it provides important
clinical benefits in terms of survival, hemodynamics, freedom from valve-related complications,
and durability, especially in women of childbearing age. However, the Ross procedure
is a longer and technically more challenging operation. As a result, the choice of
procedure should be driven by patient anatomy and clinical characteristics. This highlights
the importance of concentrating care in Ross reference centers where surgical expertise
and experience are present to ensure patient safety and long-term effectiveness of
the operation. This manuscript reviews the major and relative contraindications to
the Ross procedure.
Keywords
Abbreviations:
AI (Aortic insufficiency), AV (Aortic valve), AVR (Aortic valve replacement), CPB (Cardiopulmonary bypass), IE (Infective endocarditis), LAD (Left anterior descending coronary), PA (Pulmonary artery), PET-CT (Positron emission tomography-computed tomography), PV (Pulmonary valve), RCA (Right coronary artery), TEE (Transesophageal echocardiography)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: February 02, 2023
Footnotes
The authors have no conflicts of interest to disclose.
Identification
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© 2022 Elsevier Inc. All rights reserved.
