Ross procedure
Aortic valve replacement using the patient's own pulmonary valve as an autograft, with pulmonary valve replacement using a homograft.
Full Definition
The Ross procedure is a complex cardiac operation that involves replacing a diseased aortic valve with the patient's own pulmonary valve (pulmonary autograft), while replacing the pulmonary valve with a cadaveric homograft. This procedure is particularly beneficial for young patients as the autograft grows with the patient and does not require lifelong anticoagulation. The operation requires expertise in both aortic and pulmonary valve surgery and carries risks related to the complexity of the double valve replacement.
Usage
Usage note: Named after Dr. Donald Ross; requires careful distinction from other eponymous aortic procedures.
In Context
- "Given the patient's young age and desire to avoid anticoagulation, a Ross procedure was recommended for aortic valve replacement." — surgical consultation note
- "The Ross procedure was completed successfully with the pulmonary autograft functioning well in the aortic position." — operative report