Key result
Ross procedure offers clinical advantages over other valve substitutes for AVR in non-elderly adults.
Why the study?
Considerable new data has emerged regarding long-term outcomes after aortic valve surgery in non-elderly adults, renewing interest in the Ross procedure despite its surgical complexity.
Does the Ross procedure improve long-term outcomes compared to other valve substitutes in non-elderly adults with aortic valve disease?
Does the Ross procedure improve long-term outcomes compared to other valve substitutes in non-elderly adults with aortic valve disease?
This review highlights the theoretical and clinical rationale for the Ross procedure as an advantageous aortic valve substitute in appropriately selected non-elderly adults.
Supports selective use in non-elderly adults; leaves open need for RCTs to confirm benefits before practice change.
The ideal aortic valve substitute in non-elderly adults requires a tailored approach and thoughtful consideration. The main principles remain however constant, seeking to optimize long-term survival and quality of life, while limiting the risks of valve-related complications and reinterventions. In recent years, considerable data has emerged focusing on long-term outcomes after aortic valve surgery in non-elderly adults. As such, the Ross procedure has gained renewed interest because it results in several clinically relevant advantages when compared with other valves substitutes. However, the Ross procedure is a more complex operation and involves two valves instead of one. In this review article, we will examine the theoretical and clinical rationale for the Ross procedure, optimal patient selection, and give an overview of technical details and patient management. Finally, we will present the broader clinical implications regarding the management of aortic valve disease in non-elderly adults in 2020.
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Chauvette et al. (2020) conducted a review in Aortic valve disease. Ross procedure vs. Other valve substitutes was evaluated. The Ross procedure offers clinically relevant advantages for aortic valve replacement in non-elderly adults compared with other valve substitutes, despite being a more complex two-valve operation.
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