The Ross procedure for the treatment of aortic valve disease.

Background. The Ross procedure is useful, but at times an allograft valve is the only alternative to a mechanical aortic prosthesis. Since 1994 the Ross procedure or aortic allograft replacement has been used exclusively for aortic valve replacement at our institution. Methods. Demographic, clinical, and echocardiographic data of 23 consecutive Ross and 8 allograft patients were compared. Results. Groups were similar in age and weight. The Ross group had fewer prior operations. There were no deaths or major complications in either group. The Ross group had no late complications of the autograft but 1 reoperation for pulmonary allograft stenosis. In the allograft group there was one reoperation for allograft insufficiency. Echocardiography was performed 2 to 11 days (mean, 4.3 days) after operation and 1 to 28 months (mean, 10.2 months) later. In the Ross group left ventricular wall thickness (mm) decreased from 11.0 ± 2.3 to 7.8 ± 1.7 (p

Aortic root replacement (Ross procedure) in a child …

Adult patients undergoing the Ross procedure or mechanical aortic valve replacement.

The aortic root replacement (Ross procedure) ..

Satisfactory results for children and young adults were obtained through the Ross procedure, although limitations in durability were evident by the end of the first postoperative decade, especially for younger patients.

Comparison of Ross procedures and aortic valve …

AB - Background. The Ross procedure is useful, but at times an allograft valve is the only alternative to a mechanical aortic prosthesis. Since 1994 the Ross procedure or aortic allograft replacement has been used exclusively for aortic valve replacement at our institution. Methods. Demographic, clinical, and echocardiographic data of 23 consecutive Ross and 8 allograft patients were compared. Results. Groups were similar in age and weight. The Ross group had fewer prior operations. There were no deaths or major complications in either group. The Ross group had no late complications of the autograft but 1 reoperation for pulmonary allograft stenosis. In the allograft group there was one reoperation for allograft insufficiency. Echocardiography was performed 2 to 11 days (mean, 4.3 days) after operation and 1 to 28 months (mean, 10.2 months) later. In the Ross group left ventricular wall thickness (mm) decreased from 11.0 ± 2.3 to 7.8 ± 1.7 (p

The length of stay was 5.9 (+/- 2.1) days for the Ross procedure group versus 8 (+/-1.85) (p

Is the Ross procedure as good as we thought it would …

Observational studies with at least 30 patients and greater than 90% completeness of follow-up that reported mortality and/or morbidity following autograft aortic valve or root replacement were eligible for inclusion. Included surgical procedures comprised: freestanding root replacement; inclusion cylinder; Ross-Konno procedure; and subcoronary procedure. Outcomes evaluated included mortality and valve-related complications. Where stated, the mean age of patients in included studies was between eight and 51 years (range 0 to 71 years). A single reviewer evaluated titles and abstracts for inclusion. Selected papers were independently assessed for inclusion or exclusion by a second reviewer. Disagreements were resolved through consensus.

The mean cost amounted to $23,140 (+/- 7,825) for the mechanical valve group and $23,220 (+/- 6,960) for the Ross procedure group, (p=0.47).

Ross procedure: safe alternative for AVR in ..

N2 - Background. The Ross procedure is useful, but at times an allograft valve is the only alternative to a mechanical aortic prosthesis. Since 1994 the Ross procedure or aortic allograft replacement has been used exclusively for aortic valve replacement at our institution. Methods. Demographic, clinical, and echocardiographic data of 23 consecutive Ross and 8 allograft patients were compared. Results. Groups were similar in age and weight. The Ross group had fewer prior operations. There were no deaths or major complications in either group. The Ross group had no late complications of the autograft but 1 reoperation for pulmonary allograft stenosis. In the allograft group there was one reoperation for allograft insufficiency. Echocardiography was performed 2 to 11 days (mean, 4.3 days) after operation and 1 to 28 months (mean, 10.2 months) later. In the Ross group left ventricular wall thickness (mm) decreased from 11.0 ± 2.3 to 7.8 ± 1.7 (p

Options for tissue valves include insertion of a pulmonary autograft in the Ross procedure, ..

Mid-term results of the Ross procedure - CORE

The study demonstrates that the Ross procedure can be carried out safely with short hospital stays, decreased morbidity and costs comparable with those of standard mechanical aortic valve replacement in patients with isolated aortic valve disease.

Note: * As per the CMS’s NCD for TAVR, TAVR is a two-physician (IC & CS) procedure

Aortic Valve Replacement Options

This review assessed the mortality and morbidity that resulted from the Ross procedure and concluded that satisfactory results for children and young adults were obtained, although for younger patients limitations in durability were evident by the end of the first postoperative decade. Given a number of shortcomings in the review process the author's conclusions should be interpreted with caution.