Key result
Adult Ross procedure linked to continued autograft deterioration and reoperation beyond 10 years.
Why the study?
An update on the long-term results of the Ross procedure in adults was needed to establish the current role of this operation for aortic valve disease management.
Does the Ross procedure provide durable long-term outcomes in adults with aortic valve disease?
Does the Ross procedure provide durable long-term outcomes in adults with aortic valve disease?
The Ross procedure should not be routinely performed in adult patients until long-term results of alternative implantation techniques are available, due to high rates of autograft deterioration beyond 10 years.
May caution against routine adult Ross use; leaves open whether modified techniques improve durability.
PURPOSE OF REVIEW: To update the long-term results of the Ross procedure in adults and to establish the current role of this operation for the management of aortic valve disease. RECENT FINDINGS: Early outcomes continue to be excellent. Follow-up beyond 10 years, however, demonstrates continued deterioration of the autografts and need for reoperation in a substantial percentage of patients, particularly those in whom the root replacement technique was used. SUMMARY: Until the long-term results of alternatives to the aortic root technique for implantation (i.e., subcoronary) become available, and until the long-term results with other techniques, such as implantation of the autograft root within a synthetic vascular graft, are known, the Ross procedure should not be routinely performed in adult patients.
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Nicholas T. Kouchoukos (2011) conducted a review in Aortic valve disease. Ross procedure was evaluated on Deterioration of the autografts and need for reoperation. The Ross procedure in adults is associated with continued autograft deterioration and need for reoperation beyond 10 years, suggesting it should not be routinely performed.
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