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<p>The Ross procedure was described by Donald Ross in 1967 as an alternative to conventional aortic valve replacement and has been shown to be particularly beneficial in young patients. The procedure involves replacing the diseased aortic valve with the patient’s own pulmonary valve (autograft), while the pulmonary valve is replaced with a&#xa0;homograft. This technique offers distinct advantages, especially for young and physically active patients, as it utilizes the hemodynamic properties of an autologous valve and avoids long-term complications such as lifelong anticoagulation; however, the Ross procedure is considered technically demanding and is typically performed only in highly specialized Ross centers. Given the complexity of the procedure and the potential need for redo operations, it remains a&#xa0;controversial topic in cardiac surgery. The aim of this manuscript is to discuss the various techniques involved in the Ross procedure and to present current data on both short-term and long-term outcomes.</p>

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Technik und Ergebnisse der Ross-Operation – Update 2025

  • 期刊论文

  • 发表日期：

    2025年4月1日

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  • Anas Aboud,
  • Buntaro Fujita,
  • Thomas Pühler,
  • Claudia Busch-Tilge,
  • Igor Berezovets,
  • Stephan Ensminger

摘要

The Ross procedure was described by Donald Ross in 1967 as an alternative to conventional aortic valve replacement and has been shown to be particularly beneficial in young patients. The procedure involves replacing the diseased aortic valve with the patient’s own pulmonary valve (autograft), while the pulmonary valve is replaced with a homograft. This technique offers distinct advantages, especially for young and physically active patients, as it utilizes the hemodynamic properties of an autologous valve and avoids long-term complications such as lifelong anticoagulation; however, the Ross procedure is considered technically demanding and is typically performed only in highly specialized Ross centers. Given the complexity of the procedure and the potential need for redo operations, it remains a controversial topic in cardiac surgery. The aim of this manuscript is to discuss the various techniques involved in the Ross procedure and to present current data on both short-term and long-term outcomes.