Ross Procedure for Aortic Valve Replacement in Young Adults: Preferred Procedure or "Double, Double Toil and Trouble"?

The author discusses the Ross Procedure for aortic valve replacement (AVR) in young adults. He says that cardiac surgeons have had an uneasy relationship with this method for managing aortic valve disease since the original description of AVR with a pulmonary autograft by Donald Ross in 1967. He adds that the implanted autograft functions normally with no evidence of late deterioration in several patients.