What is the reoperation rate after Ross procedure?

Freedom from reoperation is ~80% at 10 years and ~60% at 20 years. Autograft failure (aortic regurgitation from neoaortic root dilation) is the most common cause, particularly in older patients.

How is neoaortic root dilation monitored?

Annual echocardiography for neoaortic root dimensions. Root diameter >50-55mm or rapid progression >5mm/year warrants surgical consideration. CMR provides more accurate volumetric assessment.

When is the Ross procedure preferred?

Ross procedure is preferred in young adults and children where a living autograft is superior to mechanical valve (avoids anticoagulation) and tissue valve (superior durability). High-volume center expertise is essential.

Ross Procedure Reoperation Timeline

Estimate reoperation risk and timeline after Ross procedure (autograft aortic valve replacement with pulmonary homograft) based on autograft dilation rate and homograft dysfunction.

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TOF Residual PR VSD

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Ross Procedure Reoperation Timeline

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Frequently Asked Questions

What is the reoperation rate after Ross procedure?

How is neoaortic root dilation monitored?

When is the Ross procedure preferred?