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History of Procedure
Technical Details
Series - Individual of note
Problems: Procedure (and solutions)
Review Articles Noteworthy

History of the Procedure

Replacement of the diseased aortic valve
Gonzalez-Lavin L, Geens M, Somerville J, Ross DN. Autologous pulmonary valve replacement of the diseased aortic valve. Circulation. 1970 Nov;42(5):781-5. No abstract available. PMID: 5477251

Two decades' experience
Matsuki O, Okita Y, Almeida RS, McGoldrick JP, Hooper TL, Robles A, Ross DN. Two decades' experience with aortic valve replacement with pulmonary autograft. J Thorac Cardiovasc Surg. 1988 Apr;95(4):705-11. PMID: 3352306

The autologous pulmonary valve
Gonzalez-Lavin L, Robles A, Graf D. The Ross operation: the autologous pulmonary valve in the aortic position. J Card Surg. 1988 Mar;3(1):29-43. PMID: 2980001

Biologic aortic valve repair
Gonzalez-Lavin L, Ross DN. Biologic aortic valve repair or replacement. Cardiovasc Clin. 1971;3(2):271-300. No abstract available. PMID: 5167697

Pulmonary valve autograft
Gonzalez-Lavin L, Geens M, Ross DN. Pulmonary valve autograft for aortic valve replacement. J Thorac Cardiovasc Surg. 1970 Sep;60(3):322-30. No abstract available. PMID: 4916117

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Technical Details

Left Ventricular Remodeling
Legarra JJ, Concha M, Casares J, Merino C, Munoz I, Alados P. Left ventricular remodeling after pulmonary autograft replacement of the aortic valve (Ross operation). J Heart Valve Dis. 2001 Jan;10(1):43-8. [MEDLINE record in process] PMID: 11206767

Inserting the autograft
Skillington PD, Fuller JA, Grigg LE, Yapanis AG, Porter GF. Ross procedure. Inserting the autograft using a fully supported root replacement method; techniques and results. J Heart Valve Dis. 1999 Nov;8(6):593-600. PMID: 10616233

New approach for reconstruction
Couetil JP, Berrebi A, Ferdinand FD, Fornes P, Adamopoulos C, Filsoufi F, Deloche A, Carpentier A. New approach for reconstruction of the pulmonary outflow tract during the Ross procedure. Circulation. 1998 Nov 10;98(19 Suppl):II368-71. PMID: 9852928

Current techniques
Santini F, Luciani GB, Pessotto R, Petrilli G, Fabbri A, Mazzucco A. Current techniques to reduce blood loss after the Ross procedure. J Heart Valve Dis. 1997 Jul;6(4):343-6. PMID: 9263861

Systematic technical approach
Joyce F, Tingleff J, Pettersson G. A systematic technical approach to the Ross operation. J Heart Valve Dis. 1996 Jul;5(4):391-401; discussion 401-3. PMID: 8858503

Ross Konno Procedure
Reddy VM, Rajasinghe HA, Teitel DF, Haas GS, Hanley FL. Aortoventriculoplasty with the pulmonary autograft: the "Ross-Konno" procedure. J Thorac Cardiovasc Surg. 1996 Jan;111(1):158-65; discussion 165-7. PMID: 8551761

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Series - Individual of note

Medium-term follow
Linden PA, Cohn LH. Medium-term follow up of pulmonary autograft aortic valve replacement: technical advances and echocardiographic follow up. J Heart Valve Dis. 2001 Jan;10(1):35-42. [MEDLINE record in process] PMID: 11206766

Critical analysis
Oury JH, Mackey SK, Duran CM. Critical analysis of the Ross procedure: do its problems justify wider application? Semin Thorac Cardiovasc Surg. 1999 Oct;11(4 Suppl 1):55-61. PMID: 10660167

Echocardiographic follow-up
Savoye C, Auffray JL, Hubert E, Godart F, Francart C, Goullard L, Deklunder G, Rey C, Prat A. Echocardiographic follow-up after Ross procedure in 100 patients. Am J Cardiol. 2000 Apr 1;85(7):854-7. PMID: 10758926

Low Operative Mortality
O'Brien MF. An exceedingly low operative mortality given by stentless autologous, homologous, and heterologous aortic valves for aortic valve replacement. Semin Thorac Cardiovasc Surg. 1999 Oct;11(4 Suppl 1):12-7. PMID: 10660160

Long-term Results
Chambers JC, Somerville J, Stone S, Ross DN. Pulmonary autograft procedure for aortic valve disease: long-term results of the pioneer series. Circulation. 1997 Oct 7;96(7):2206-14. PMID: 9337191

Aortic valve replacement
Concha M, Casares J, Ross DN, Gonzalez-Lavin L, Franco M, Mesa D, Legarra JJ, Merino C, Garcia Jimenez MA, Roman M, Munoz I, Alados P, Chacon A. [Aortic valve replacement with a pulmonary autograft (the Ross operation) in adult and pediatric patients. A preliminary study]. Rev Esp Cardiol. 1999 Feb;52(2):113-20. Spanish. PMID: 10073093

Ten years of experience
Stelzer P, Weinrauch S, Tranbaugh RF. Ten years of experience with the modified Ross procedure. J Thorac Cardiovasc Surg. 1998 May;115(5):1091-100. PMID: 9605079

Results of early experience
Joyce F, Tingleff J, Pettersson G. The Ross operation: results of early experience including treatment for endocarditis. Eur J Cardiothorac Surg. 1995;9(7):384-91; discussion 391-2. PMID: 8519518

Early clinical and echocardiographic profile
Kumar N, Prabhakar G, Gometza B, al-Halees Z, Duran CM. The Ross procedure in a young rheumatic population: early clinical and echocardiographic profile. J Heart Valve Dis. 1993 Jul;2(4):376-9. PMID: 8269137

Histologic abnormalities
de Sa M, Moshkovitz Y, Butany J, David TE. Histologic abnormalities of the ascending aorta and pulmonary trunk in patients with bicuspid aortic valve disease: clinical relevance to the ross procedure. J Thorac Cardiovasc Surg. 1999 Oct;118(4):588-94. PMID: 10504620

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Problems:Procedure (and solutions)

False aneurysm
Metras D, Kreitmann B, Habib G, Riberi A, Yao JG, Ross DN. False aneurysm: a rare and potentially severe complication after pulmonary autograft operation. J Heart Valve Dis. 1996 Jul;5(4):414-6; discussion 416-7. PMID: 8858506

Early in vivo experience
Sodian R, Hoerstrup SP, Sperling JS, Daebritz S, Martin DP, Moran AM, Kim BS, Schoen FJ, Vacanti JP, Mayer JE Jr. Early in vivo experience with tissue-engineered trileaflet heart valves. Circulation. 2000 Nov 7;102(19 Suppl 3):III22-9. PMID: 11082357

Size and distensibility
Schmidtke C, Bechtel Jf, Hueppe M, Noetzold A, Sievers HH. Size and distensibility of the aortic root and aortic valve function after different techniques of the ross procedure. J Thorac Cardiovasc Surg. 2000 May;119(5):990-7. PMID: 10788820

Dilation of the pulmonary autograft
David TE, Omran A, Ivanov J, Armstrong S, de Sa MP, Sonnenberg B, Webb G. Dilation of the pulmonary autograft after the Ross procedure. J Thorac Cardiovasc Surg. 2000 Feb;119(2):210-20. PMID: 10649195

Aneurysms complicating pulmonary autograft
Shahid MS, Al-Halees Z, Khan SM, Pieters FA. Aneurysms complicating pulmonary autograft procedure for aortic valve replacement. Ann Thorac Surg. 1999 Nov;68(5):1842-3. PMID: 10585072

Geometric mismatch
Reddy VM, McElhinney DB, Phoon CK, Brook MM, Hanley FL. Geometric mismatch of pulmonary and aortic anuli in children undergoing the Ross procedure: implications for surgical management and autograft valve function. J Thorac Cardiovasc Surg. 1998 Jun;115(6):1255-62; discussion 1262-3. PMID: 9628666

Progressive pulmonary autograft root dilatation
Takkenberg JJ, Zondervan PE, van Herwerden LA. Progressive pulmonary autograft root dilatation and failure after Ross procedure. Ann Thorac Surg. 1999 Feb;67(2):551-3; discussion 553-4. PMID: 10197695

Shorter hospital stay, decreased morbidity
Jaggers J, Harrison JK, Bashore TM, Davis RD, Glower DD, Ungerleider RM. The Ross procedure: shorter hospital stay, decreased morbidity, and cost effective. Ann Thorac Surg. 1998 Jun;65(6):1553-7; discussion 1557-8. PMID: 9647057

Aortic insufficiency
David TE, Omran A, Webb G, Rakowski H, Armstrong S, Sun Z. Geometric mismatch of the aortic and pulmonary roots causes aortic insufficiency after the Ross procedure. J Thorac Cardiovasc Surg. 1996 Nov;112(5):1231-7; discussion 1237-9. PMID: 8911319

Relief of complex left ventricular outflow
Hvass U, Chatel D, Calliani J, Pansard Y. Relief of complex left ventricular outflow tract obstruction with pulmonary autografts. J Thorac Cardiovasc Surg. 1995 May;109(5):1019. No abstract available. PMID: 7739236

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Review Articles Noteworthy

1996 results
Oury JH. The International Registry of the Ross procedure: 1996 results. J Heart Valve Dis. 1997 Jul;6(4):333-4. No abstract available. PMID: 9263859

An appraisal
Oury JH. An appraisal of the Ross procedure. J Heart Valve Dis. 1995 Jul;4(4):350-1. No abstract available. PMID: 7582140

Pulmonary homografts
Dacey LJ. Pulmonary homografts: current status. Curr Opin Cardiol. 2000 Mar;15(2):86-90. Review. PMID: 10963144

Expanding indications
Oury JH, Hardy BG, Luo HH, Maxwell M, Duran CM. Expanding indications for the Ross procedure. Ann Thorac Surg. 1999 Oct;68(4):1403-6. PMID: 10543519

Right ventricular function
Carr-White GS, Kon M, Koh TW, Glennan S, Ferdinand FD, De Souza AC, Pepper JR, Pennell DJ, Gibson DG, Yacoub MH. Right ventricular function after pulmonary autograft replacement of the aortic valve. Circulation. 1999 Nov 9;100(19 Suppl):II36-41. PMID: 10567276

Clinical performance
Schmid FX, Hilker M, Kampmann C, Mayer E, Oelert H. Clinical performance of the native pulmonary valve in the systemic circulation. J Heart Valve Dis. 1998 Nov;7(6):620-5. PMID: 9870195

Pulmonary autograft in young patients
Choudhary SK, Mathur A, Sharma R, Saxena A, Chopra P, Roy R, Kumar AS. Pulmonary autograft: should it be used in young patients with rheumatic disease? J Thorac Cardiovasc Surg. 1999 Sep;118(3):483-90; discussion 490-1. PMID: 10469964

Mitral valve replacement
Kabbani SS, Ross DN, Jamil H, Hammoud A, Nabhani F, Hariri R, Kabbani LS. Mitral valve replacement with a pulmonary autograft: initial experience. J Heart Valve Dis. 1999 Jul;8(4):359-66; discussion 366-7. PMID: 10461234

Aortic allografts and pulmonary autografts
Kouchoukos NT. Aortic allografts and pulmonary autografts for replacement of the aortic valve and aortic root. Ann Thorac Surg. 1999 Jun;67(6):1846-8; discussion 1853-6. Review. PMID: 10391323

Acceptance and versatility
Oswalt JD. Acceptance and versatility of the Ross procedure. Curr Opin Cardiol. 1999 Mar;14(2):90-4. Review. PMID: 10191966

Six-year follow-up of a pulmonary autograft
Al Halees Z, Awad MM, Pieters F, Shahid MS, Al Amri MA. Six-year follow-up of a pulmonary autograft in the mitral position: the Ross II procedure. J Thorac Cardiovasc Surg. 1999 Mar;117(3):614-6. No abstract available. PMID: 10047669

Current Registry Results
Oury JH, Hiro SP, Maxwell JM, Lamberti JJ, Duran CM. The Ross Procedure: current registry results. Ann Thorac Surg. 1998 Dec;66(6 Suppl):S162-5. PMID: 9930440

Clinical aspects
Oury JH. Clinical aspects of the Ross procedure: indications and contraindications. Semin Thorac Cardiovasc Surg. 1996 Oct;8(4):328-35. Review. PMID: 8899918

A progress report
Oury JH, Eddy AC, Cleveland JC. The Ross procedure: a progress report. J Heart Valve Dis. 1994 Jul;3(4):361-4. No abstract available. PMID: 7952307

Aortic root replacement
Stelzer P, Jones DJ, Elkins RC. Aortic root replacement with pulmonary autograft. Circulation. 1989 Nov;80(5 Pt 2):III209-13. PMID: 2805303

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The Ross Procedure, a.k.a pulmonary autograft, is an innovative surgical solution for aortic valve disease. Pioneered in the 1960s by the British cardiac surgeon Mr. Donald Ross, this operation is particularly suited to young patients with congenital aortic valve disease, as well as athletes and women of child-bearing age, offering superior hemodynamics and no need for an anti-coagulant medication.