Ross Procedure in Infants and Toddlers Followed Into Childhood

Background— The Ross procedure is commonly used to treat aortic valve disease in pediatric and adult patients. For infants, data are limited regarding survival, reintervention, autograft growth, and function. Methods and Results— The Ross procedure was performed in 27 infants z score increased from 0.63 to 3.2 ( P P z score increased significantly from the postoperative period to 1 year for both the annulus (0.72 to 3.2, P P Conclusions— The Ross procedure effectively relieves AS in infants. Homograft reintervention occurred in 13% within 8 years. No patient developed significant autograft insufficiency or required autograft reintervention during the follow-up period. Dilatation of the autograft occurred during the first year after surgery and stabilized thereafter.