Why the study?
Despite concerns regarding PA harvesting and reintervention risks, the pulmonary autograft adapts to systemic pressures, yet substantial well-designed randomized controlled trials are lacking.
This narrative review provides a comprehensive overview of the Ross procedure, emphasizing its utility and the need for further randomized controlled trials.
May guide Ross procedure selection in suitable patients; leaves open definitive recommendations pending RCTs.
The Ross procedure has long been seen as an optimal operation for a select few. The detractors of it highlight the issue of an additional harvesting of the pulmonary artery, subjecting the native PA to systemic pressures and the need for reintervention as reasons to avoid it. However, the PA is a living tissue and capable of adapting and remodeling to growth. We therefore review the current evidence available to discuss the indications, contraindications, harvesting techniques, and modifications in a state-of-the-art narrative review of the PA as an aortic conduit. Due to the lack of substantial well-designed randomized controlled trials (RCTs), we also highlight the areas of need to reiterate the importance of the Ross procedure as part of the surgical armamentarium.
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Nappi et al. (2021) studied this question.
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