How to Manage Aortic Regurgitation from an Allograft

  • Hideaki KadoEmail author


The benefits of Ross operation include the elimination of postoperative anticoagulant therapy, and the favorable postoperative valve function. The procedure has widely been performed as autologous pulmonary valve (PV) transplantation to treat aortic valve (AV) disease predominantly in young patients. Example of good indications for the procedure include women who wish to fall pregnant or athletes who want to avoid anticoagulants, young patients for whom a suitable prosthetic valve size cannot be found, and patients with infective endocarditis.


  1. 1.
    Elkins RC, Thompson DM, Lane MM, Elkins CC, Peyton MD. Ross operation: 16-year experience. J Thorac Cardiovasc Surg. 2008;136:623–30.CrossRefGoogle Scholar
  2. 2.
    Stulak JM, Burkhart HM, Sundt TM 3rd, Connolly HM, Suri RM, Schaff HV, et al. Spectrum and outcome of reoperations after the Ross procedure. Circulation. 2010;122:1153–8.CrossRefGoogle Scholar
  3. 3.
    David TE, David C, Woo A, Manlhiot C. The Ross procedure: outcomes at 20 years. J Thorac Cardiovasc Surg. 2014;147:85–93.CrossRefGoogle Scholar
  4. 4.
    de Kerchove L, Boodhwani M, Etienne PY, Pasquet A, Poncelet A, Ovaert C, et al. Preservation of the pulmonary autograft after failure of the Ross procedure. Eur J Cardiothorac Surg. 2010;38:326–32.CrossRefGoogle Scholar
  5. 5.
    Luciani GB, Lucchese G, De Rita F, Puppini G, Faggian G, Mazzuccoet A. Reparative surgery of the pulmonary autograft: experience with Ross reoperations. Eur J Cardiothorac Surg. 2012;41:1309–15.CrossRefGoogle Scholar
  6. 6.
    Liebrich M, Weimar T, Tzanavaros I, Roser D, Doll KN, Hemmeret WB. The David procedure for salvage of a failing autograft after the Ross operation. Ann Thorac Surg. 2014;98:2046–52.CrossRefGoogle Scholar
  7. 7.
    Nelson JS, Pasquali SK, Pratt CN, Yu S, Donohue JE, Loccoh E, et al. Ross procedure across the pediatric age spectrum. Ann Thorac Surg. 2015;99:2086–95.CrossRefGoogle Scholar
  8. 8.
    Nosál M, Poruban R, Valentík P, Šagát M, Nagi AS, Kántorová A. Initial experience with polytetrafluoroethylene leaflet extensions for aortic valve repair. Eur J Cardiothorac Surg. 2012;41:1255–7.CrossRefGoogle Scholar

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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Cardiovascular Surgery, Cardiovascular CentreFukuoka Children’s HospitalFukuokaJapan

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