Candidacy Factors -- Ross Procedure -- Experts' Techniques -- CTSNet
Factors Influencing Candidacy
for the Ross Operation

Comorbities
Patient Factors
  1. Good
  2. Poor

Age
  1. Young
  2. Age > 60

Lifestyle
  1. Active
  2. Sedentary

Ease of anticoagulation
  1. Difficult
  2. Relatively easy
Mitral valve disease
  1. None or easily repaired
  2. Requires replacement

Coronary disease
  1. Limited
  2. Reduced life expectancy (<20 yrs)

Systemic disease
  1. Minor effect on life expectancy
  2. Marfan's Syndrome
  3. Immune Complex Disease
  4. Connective tissue disorder

Anatomic considerations
Aortic valve pathology
  1. Aortic stenosis
  2. Aortic insufficiency

Aortic annulus
  1. Small or normal size for BSA
  2. > Normal for BSA

Ascending aorta
  1. Normal
  2. Aneurysmal
Pulmonary valve pathology
  1. Normal or minor fenestration
  2. Bicuspid or quadra-cuspid, multiple major fenestrations

Bacterial endocarditis
  1. Involves only aortic valve
  2. Extensive aortic valve and aortic annulus involvement


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The pages comprising Experts' Techniques: Adult Cardiac Surgical Techniques were compiled and edited by Edward B. Savage M.D.. Comments, suggestions, and contributions are welcome.