Document Detail

The Ross procedure is not the procedure of choice for the teenager requiring aortic valve replacement.
MedLine Citation:
PMID:  15818375     Owner:  NLM     Status:  MEDLINE    
The Ross procedure was a remarkable technical achievement when it was introduced in 1967. Although the long-term results for the procedure when performed in adults using the technique of intra-aortic subcoronary freehand implantation have been satisfactory, the results for children using the technique of complete aortic root replacement have been less satisfactory. Not only have early outgrowth, calcification, and shrinkage of the pulmonary homograft used to reconstruct the right ventricular outflow tract been a problem but in addition some children have experienced excessive dilation of the neoaortic root as well as neoaortic valve regurgitation. In contrast to the Ross procedure, aortic valve repair and other forms of aortic valve replacement do not exclude the possibility of reoperation in the future using more advanced options such as tissue engineered leaflets or valves. Until more information is available regarding long-term performance of the pulmonary root when implanted as a neoaortic root, as well as improved results for reconstruction of the right ventricular outflow tract, the Ross procedure should be used rarely.
Richard A Jonas
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Publication Detail:
Type:  Comment; Journal Article; Review    
Journal Detail:
Title:  Seminars in thoracic and cardiovascular surgery. Pediatric cardiac surgery annual     Volume:  -     ISSN:  1092-9126     ISO Abbreviation:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Publication Date:  2005  
Date Detail:
Created Date:  2005-04-08     Completed Date:  2005-09-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  9815944     Medline TA:  Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu     Country:  United States    
Other Details:
Languages:  eng     Pagination:  176-80     Citation Subset:  IM    
Department of Cardiac Surgery, Children's National Heart Institute, Washington, DC 20010, USA.
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MeSH Terms
Age Factors
Aortic Valve Insufficiency / physiopathology,  surgery*
Aortic Valve Stenosis / physiopathology,  surgery*
Blood Pressure / physiology
Postoperative Complications*
Pulmonary Valve / physiopathology,  transplantation*
Regional Blood Flow / physiology
Treatment Failure
Comment On:
Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2005;:173-5   [PMID:  15818374 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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