Improving outcomes of right ventricular outflow tract reconstruction during the Ross operation: Homograft decellularization and surgical technique

This study represent the longest follow-up with decellularized homografts during the Ross Operation. Decellularized homografts were associated with slower progression of late gradients and lower cumulative incidence of reoperations up to 15 years of follow-up. Conical extension with decellularized human pericardium may further improve their early and late hemodynamic performance.