Ross Procedure: How to Do It and How to Teach It. Issue 5 (September 2019)

• Record Type: Journal Article
• Authors: Herrmann, Jeremy L.; Stram, Amanda R.; Brown, John W.
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 10:Issue 5(2019)
• Page Start: 624
• Page End: 627
• Publication Date: 2019-09
• Subjects: Ross operation -- aortic valve -- replacement -- aortic operation -- heart valve -- autograft; Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135119852324
• Languages: English
• ISSNs: 2150-1351

Abstract

Prosthesis choice for aortic valve replacement (AVR) in children is frequently compromised by unavailability of prostheses in very small sizes, the lack of prosthetic valve growth, and risks associated with long-term anticoagulation. The Ross procedure with pulmonary valve autograft offers several advantages for pediatric and adult patients. We describe our current Ross AVR technique including replacement of the ascending aorta with a prosthetic graft. The procedure shown in the video involves an adult-sized male with a bicuspid aortic valve, mixed aortic stenosis and insufficiency, and a dilated ascending aorta.