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The Ross procedure, also known as the switch procedure, is a cardiac surgery in which the patient's pulmonary valve is used to replace the diseased aortic valve. The pulmonary valve is then replaced with a pulmonary homograft.
The Ross Procedure is very effective at treating damaged aortic valves. The aortic valve handles all the blood being pumped back out to the body. The pulmonary valve is similarly shaped.
After the pulmonary valve is moved into the aortic valve position, it can continue to grow normally in a child who is not fully grown. It can also handle the high blood flow volume from the lower pumping chamber out to the body. There is generally no need for long-term medication.
Presbyterian Heart and Vascular Care has the only pediatric and congenital cardiothoracic surgery team in New Mexico. Their team uses some of the most advanced techniques to perform this procedure. These techniques can improve recovery time, reduce complications and provide a quicker return to daily activities.
The Ross procedure is usually performed on patients younger than 50 who want to avoid taking long-term anticoagulant medications after surgery. The Ross procedure is for patients who have:
You or your child's healthcare provider may want some extra tests before the surgery. These might include:
The Ross procedure can ease the symptoms of aortic stenosis. These symptoms include:
Newborns with aortic valve problems are often very ill. The Ross procedure decreases how hard the heart has to work. It also improves blood flow out to the body. Some children need treatment for aortic stenosis if they have too much pressure in the left ventricle, even if they don't yet have symptoms.
The Ross procedure is not the only treatment for aortic stenosis. Balloon valvotomy is often the first treatment. It is a less invasive procedure that helps open up the valve. But it often doesn't work permanently. It also may lead to a leaky valve.
One advantage of the Ross procedure is that the valve can grow with the child. The child will not need a future replacement.
You or your child should not eat or drink anything after midnight before the day of the surgery. Your child may need to stop taking any medicines beforehand.
Talk with you or your child’s healthcare provider about what to expect during the surgery.
After the procedure:
After you leave the hospital:
Most of the time, symptoms improve soon after surgery. You or your child will need lifelong follow-up care with a cardiologist to watch for possible complications from the procedure. You or your child may also need to take antibiotics before certain medical or dental procedures to prevent an infection of the heart valves.