Should we still do the Ross operation in adults?

Curr Opin Cardiol. 2011 Mar;26(2):94-8. doi: 10.1097/HCO.0b013e328343981e.

Abstract

Purpose of review: To update the long-term results of the Ross procedure in adults and to establish the current role of this operation for the management of aortic valve disease.

Recent findings: Early outcomes continue to be excellent. Follow-up beyond 10 years, however, demonstrates continued deterioration of the autografts and need for reoperation in a substantial percentage of patients, particularly those in whom the root replacement technique was used.

Summary: Until the long-term results of alternatives to the aortic root technique for implantation (i.e., subcoronary) become available, and until the long-term results with other techniques, such as implantation of the autograft root within a synthetic vascular graft, are known, the Ross procedure should not be routinely performed in adult patients.

Publication types

  • Review

MeSH terms

  • Adult
  • Age Factors
  • Aortic Valve / pathology
  • Aortic Valve / surgery*
  • Aortic Valve Insufficiency / pathology
  • Aortic Valve Insufficiency / surgery*
  • Aortic Valve Insufficiency / therapy
  • Cardiovascular Surgical Procedures / instrumentation
  • Cardiovascular Surgical Procedures / methods*
  • Heart Valve Prosthesis Implantation / instrumentation
  • Heart Valve Prosthesis Implantation / methods*
  • Hemodynamics
  • Humans
  • Reoperation
  • Transplantation, Autologous