after the Ross procedure. More than 90% of all patients are free of
any complications (death, degeneration, valve failure, endo-
carditis) after ten years. However, the subpulmonary homograft
may need replacement in the future. The Ross procedure is
technically demanding. It is the method of choice for aortic valve
replacement in the young, with excellent early postoperative
haemodynamic results and good mid-term results. Long term
results of the Ross procedure using current techniques are awaited.
FFuurrtthheerr rreeaaddiinngg
Elkins RC. The Ross operation: a twelve year experience. Ann Thorac Surg
1999; 6688 ((ssuuppppll 33 )): S14–18.
Ross DN. Replacement of aortic and mitral valve with a pulmonary auto-
graft. Lancet1967;iiii: 956–8.