The Ross procedure is superior as a valve substitute in children and early adulthood becauseof its clear survival benefits. The free standing-root implantation is associated with failure ofthe autograft and inclusion techniques that support externally the autograft warrants its lon-gevity. The current technique consists in the implantation of the autograft within the nativeaortic root thereby both supporting the autograft and avoiding any coronary distortion.
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