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Long-Term Outcomes Following the Ross Procedure in Neonates and Infants: A Multi-Institutional Analysis

Thursday, March 27, 2025

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Source

Source Name: The Journal of Thoracic and Cardiovascular Surgery

Author(s)

Jason W. Greenberg, Madison Argo, Awais Ashfaq, Jack C. Luxford, Andres A. Fuentes-Baldemar, Alyssa B. Kalustian, Valeria Pena-Munoz, David J. Barron, Luc L. Mertens, S. Adil Husain, Jeffrey S. Heinle, Lauren C. Goldie, Yishay Orr, Julian Ayer, Constantine D. Mavroudis, Stephanie M. Fuller, David L.S. Morales, Garick D. Hill, David S. Winlaw

This study evaluated the long-term outcomes of the Ross procedure in neonates and infants with aortic valve pathology demonstrating good post-discharge survival and minimal need for reintervention. Neoaortic dilatation initially peaked but normalized over time, with a high rate of freedom from moderate or greater neoaortic regurgitation (86 percent at 15 years). These findings suggest that the Ross procedure may be a viable option for neonates and infants with aortic valve disease, offering durable outcomes and low rates of autograft reintervention. 

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