Is The Ross Procedure As Good As We Thought It Would Be?

摘要

Insertion of the pulmonary autograft provides superior haemodynamics, does not require anti-coagulation, grows with the patient, and has the best long-term durability of the present options available for replacement of the aortic valve using a tissue prosthesis.rnThe Ross procedure, therefore, is the procedure of choice when it is necessary to replace the aortic valve in the neonate, infant, and young child. The procedure is contra-indicated, however, when the native pulmonary valve is structurally abnormal. Whether or not the newer techniques of aortic valvoplasty will have equal or better durability than the pulmonary autograft is not known.