Ross Procedure

[Jmprosser.lab]

Anyone know if the Ross Procedure can be done on BAV with AI/Regurgitation?

I know it deff can with Stenosis.

Just curious

 

[ATHENS1964]

Why not, alternate the valves of one with the position of the other.

 

[Jmprosser.lab]

I think it’s more complex than that. Has to do with position of the valve. Not saying it can’t be done! Just looking for a more official confirmation.

 

[ATHENS1964]

Read the following link it is the answer to you question.
Indications for the Ross procedure include .
Aortic valve disease in children with congenital aortic stenosis (most common indication)

1. Females of childbearing age wanting to bear children in the future with bicuspid aortic valve and small aortic annulus
2. Some variations of left ventricular outflow obstructive disease
3. Native or prosthetic valve endocarditis depending on the extent of disease
4. Some forms of adult aortic regurgitation with a dilated aorta
5. Severe forms of aortic valve disease not amenable to repair

Aortic Valve Ross Operation - StatPearls - NCBI Bookshelf

 

[Jmprosser.lab]

Yep! Regurgitation is an option for Ross. Dr Ismail El-Hamamsy, one of the most prolific Ross surgeons in the world, responded to my inquiry and said Ross is a great option for younger patients who have stenosis OR regurgitation. Found that very encouraging.

 

[spartangator]

Yeah, that was my situation pre-surgery. I recently watched a video of a grand rounds presentation by Dr. El-Hamamsy and found it really interesting and helpful