A durable, biologic solution for aortic valve replacement using the patient’s own tissue.
The Ross Procedure involves replacing a diseased aortic valve with the patient’s own pulmonary valve, followed by placement of a donated pulmonary allograft. This approach offers long-term durability and avoids lifelong anticoagulation for appropriately selected patients.
Ross Procedure Overview
History: First performed in 1967 by Dr. Donald Ross.
Patient Eligibility: Typically for younger patients seeking a long-term biologic solution.
How the Ross Procedure Works
Stepwise illustration of valve replacement.
1. Remove Diseased ValveExcision of the aortic valve.
2. Pulmonary AutograftPatient valve is harvested.
3. Allograft PlacementDonor valve replaces pulmonary position.
4. TransplantationAutograft placed in aortic position.
Advantages
Durability
Reduced need for reoperation.
Reduced need for reoperation.
Improved Hemodynamics
Natural valve performance.
Natural valve performance.
No Anticoagulation
Avoid lifelong therapy.
Avoid lifelong therapy.
Considerations
The Ross Procedure is complex and requires specialized expertise. Careful patient selection is essential.
Additional Resources
Explore allograft solutions supporting the Ross Procedure.