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EACTS Expert Consensus Statement on the Ross Procedure in Adult Patients 

Thursday, October 30, 2025

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Source

Source Name: European Journal of Cardio-Thoracic Surgery

Author(s)

Jan Vojacek, Jan Gofus, Martin Andreas, Joseph E Bavaria, Denis Berdajs, Filip P A Casselman, Ismail El-Hamamsy, Tomas Holubec, Laurent de Kerchove, Milan Milojevic, Leonardo Mulinari, Maral Ouzonian, Peter Skillington, Johanna J M Takkenberg, Peter Verbrugghe, EACTS Scientific Document Group

The EACTS recently released an expert consensus statement on the Ross procedure in adult patients, highlighting the renewed focus in this area due to increasing evidence of excellent long-term outcomes. These outcomes include restoration of life expectancy and improved valve-related outcomes. The Ross procedure is now considered a viable first-line option for selected young and middle-aged adults with nonrepairable aortic valve disease. Currently, its adoption remains inconsistent across institutions, partly due to concerns about surgical complexity, long-term durability, and the need for structured follow-up. This expert consensus statement discusses the rationale for increasing adoption, surgical technique, patient selection, and standardization procedures in centers of excellence. 

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