The Ross Procedure in Adults

The ideal aortic valve substitute in adults remains a matter of intense debate. With the advent of transcatheter procedures, the concept of lifetime management of aortic valve disease has gained further momentum. The Ross procedure represents the only replacement option that ensures long-term viability of the aortic valve substitute. This provides unique biological and hemodynamic benefits, which have translated into clinically relevant benefits for patients. In recent years, better understanding of the technical nuances of the operation and recognition of the importance of surgical expertise have further improved outcomes. The current review provides a comprehensive examination of the current role of the Ross procedure in adults in contemporary practice, including indications, technical elements and special considerations.