The Living Ross Procedure: A New Paradigm in Partial Heart Transplantation.
| Title: | The Living Ross Procedure: A New Paradigm in Partial Heart Transplantation. |
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| Authors: | Kesseli S; Department of Surgery, Duke University Medical Center, Durham, North Carolina.; Wolf SEM; Duke Congenital Heart Surgery Research and Training Laboratory, Durham, North Carolina.; Schroder JN; Department of Surgery, Duke University Medical Center, Durham, North Carolina.; Beckerman Z; Department of Surgery, Duke University Medical Center, Durham, North Carolina.; Overbey DM; Department of Surgery, Duke University Medical Center, Durham, North Carolina; Duke Congenital Heart Surgery Research and Training Laboratory, Durham, North Carolina.; Turek JW; Department of Surgery, Duke University Medical Center, Durham, North Carolina; Duke Congenital Heart Surgery Research and Training Laboratory, Durham, North Carolina. Electronic address: joseph.turek@duke.edu. |
| Source: | The Annals of thoracic surgery [Ann Thorac Surg] 2025 Aug; Vol. 120 (2), pp. 412-414. Date of Electronic Publication: 2025 May 26. |
| Publication Type: | Case Reports; Journal Article; Research Support, Non-U.S. Gov't |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE |
| Imprint Name(s): | Publication: Amsterdam : Elsevier; Original Publication: Boston. |
| MeSH Terms: | Heart Transplantation*/methods ; Aortic Valve*/surgery ; Aortic Valve*/abnormalities ; Pulmonary Valve*/transplantation ; Pulmonary Artery*/surgery ; Pulmonary Artery*/transplantation; Humans ; Child, Preschool ; Male |
| Abstract: | In the Ross procedure, homograft stenosis and regurgitation have limited the longevity of the right ventricle-to-pulmonary artery (RV-PA) conduit. Partial heart transplantation (PHT) facilitates conduit growth throughout the life of the child. We report the application of PHT of the RV-PA conduit during a Ross procedure, "living Ross," in a 3-year old patient with a congenital unicuspid aortic valve. Pulmonary autograft was used in the aortic position, and an aortic root allograft from the cardiectomy of an adult heart transplant recipient served as the RV-PA conduit. We hypothesize that this Ross procedure, the living Ross, improves the longevity of the RV-PA conduit.; (Copyright © 2025 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| Competing Interests: | Disclosures Joseph W. Turek reports a relationship with Surge Ingenuity that includes: board membership and equity or stocks. All other authors declare that they have no conflicts of interest. |
| Grant Information: | Brett Boyer Foundation; Graeme McDaniel Foundation |
| Entry Date(s): | Date Created: 20250528 Date Completed: 20250729 Latest Revision: 20260505 |
| Update Code: | 20260506 |
| DOI: | 10.1016/j.athoracsur.2025.04.039 |
| PMID: | 40436187 |
| Database: | MEDLINE |
Case Reports; Journal Article; Research Support, Non-U.S. Gov't