title: The Ross procedure is an ideal aortic valve replacement operation for the teen patient.
abstract: The Ross procedure is an ideal aortic valve replacement for the teenage patient because the pulmonary autograft is durable, is nonthrombogenic, has excellent hemodynamics, and grows. Since 1992, our center has performed 194 Ross procedures, and 53 of these were in teenagers (10 to 21 years of age). In this group, there have been no perioperative deaths, hospital length of stay was 4 days, and re-operation for autograft failure was only 2% at mean follow-up of 69 months. All patients are in NYHA heart failure class I. Because of its proven efficacy, the Ross operation is our preferred aortic valve replacement for the teenage patient.
authors.affiliation: Department of Cardiothoracic Surgery, University of Southern California, Childrens Hospital Los Angeles, 90027, USA.
authors.forename: Shamsuddin
authors.initials: S
authors.lastname: Khwaja
authors.forename: John J
authors.initials: JJ
authors.lastname: Nigro
authors.forename: Vaughn A
authors.initials: VA
authors.lastname: Starnes
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000925:Anticoagulants / Q000008:administration & dosage; D001022:Aortic Valve Insufficiency / Q000503:physiopathology / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008019:Life Style; D008297:Male; D011664:Pulmonary Valve / Q000503:physiopathology / Q000637:transplantation*; D012039:Regional Blood Flow / Q000502:physiology; D012189:Retrospective Studies; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants