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• W2802882297 abstract "The Ross procedure provides excellent long-term survival, hemodynamics, freedom from valve-related complications, and quality of life. However, its usage has decreased mainly because of concerns with technical complexity and long-term durability. In the last 2 decades, the factors associated with late failure after the Ross procedure have been clearly identified. As a result, the surgical technique has been modified in order to address these issues, specifically aiming at stabilizing the autograft root at its different levels: annulus, sinus of Valsalva, and sinotubular junction; as well as mitigating the risk of pulmonary homograft dysfunction. We have implemented this systematic approach over the last decade with demonstrated safety and effectiveness. Furthermore, by breaking down the operation into its smaller steps, we believe it makes it highly reproducible in the hands of dedicated aortic reconstructive surgeons. This article details our step-by-step, systematic, and tailored approach to the Ross procedure in patients with aortic stenosis or regurgitation. The Ross procedure provides excellent long-term survival, hemodynamics, freedom from valve-related complications, and quality of life. However, its usage has decreased mainly because of concerns with technical complexity and long-term durability. In the last 2 decades, the factors associated with late failure after the Ross procedure have been clearly identified. As a result, the surgical technique has been modified in order to address these issues, specifically aiming at stabilizing the autograft root at its different levels: annulus, sinus of Valsalva, and sinotubular junction; as well as mitigating the risk of pulmonary homograft dysfunction. We have implemented this systematic approach over the last decade with demonstrated safety and effectiveness. Furthermore, by breaking down the operation into its smaller steps, we believe it makes it highly reproducible in the hands of dedicated aortic reconstructive surgeons. This article details our step-by-step, systematic, and tailored approach to the Ross procedure in patients with aortic stenosis or regurgitation. Commentary: The Ross RenaissanceOperative Techniques in Thoracic and Cardiovascular SurgeryVol. 26Issue 2PreviewIn 1967, Donald Ross reported the first replacement of a diseased aortic valve with a pulmonary autograft in humans.1 More than half a century later, the Ross procedure remains the only replacement operation that allows for long-term viability of the neo-aortic root. After an initial wave of enthusiasm, the operation was largely abandoned due to its surgical complexity and concerns over durability.2,3 By 2010, the Ross procedure had all but disappeared from the surgical menu in North America.2 The operation was kept alive by a small number of dedicated surgeons who remained faithful to the promise of a durable living substitute, whilst cognizant of the limitations of prosthetic valve replacement in young patients. Full-Text PDF" @default.
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• W2802882297 date "2021-01-01" @default.
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• W2802882297 title "The Ross Procedure" @default.
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• W2802882297 doi "https://doi.org/10.1053/j.optechstcvs.2020.12.004" @default.
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