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Ross Procedure is a sensitive heart surgery to correct serious aortic valve disease. It substitutes the patient's deformed aortic valve with their normal pulmonary valve. The removed pulmonary valve is substituted with a donor valve taken from a cadaver or other options.

The Ross Procedure treats aortic valve dysfunction, especially in young individuals with regurgitation or aortic stenosis. It involves autografting the patient's pulmonary valve to replace the damaged aortic valve, followed by a homograft of the pulmonary valve. Particularly in children and young adults, it is recommended for patients who wish to avoid lifelong anticoagulation and benefit from a robust, living valve that develops with the patient.

Consult a cardiologist if you experience cardiac murmurs, fatigue, fainting, chest pain, or dyspnea—all of which are common symptoms of aortic valve dysfunction. A cardiac surgeon may suggest that you explore the Ross Procedure if testing reveals severe valve malfunction and you are a good candidate, particularly if you are young and active.

Preparation includes a complete cardiac evaluation: echocardiogram, cardiac MRI or CT, electrocardiogram (ECG), and blood tests. Your doctor will assess your overall health, surgical risk, and valve anatomy. You may be asked to fast before surgery, stop certain medications, and undergo pre-anaesthesia assessment.

  • Anaesthesia: General anaesthesia is administered.
  • Incision: A midline sternotomy (chest opening) is performed.
  • Heart-Lung Machine: The patient is connected to cardiopulmonary bypass.
  • Valve Removal: The diseased aortic valve is removed.
  • Pulmonary Valve Transfer: The patient’s pulmonary valve is excised and implanted in the aortic position.
  • Pulmonary Valve Replacement: A donor (homograft) valve replaces the pulmonary valve.
  • Closure: The heart is restarted, and the chest is closed with sutures and/or staples.

The Ross Procedure usually takes 5 to 7 hours, depending on the patient’s condition and surgical complexity.

Potential risks of the Ross Procedure include
  • Bleeding during or after surgery
  • Infection at the surgical site or within the heart
  • Valve dysfunction of the autograft or homograft over time
  • Heart rhythm problems (arrhythmias)
  • Stroke or other neurological complications
  • Pulmonary valve failure, requiring reoperation
  • General anaesthesia-related risks

Numerous advantages of this technique might greatly enhance one's quality of life. It makes it possible for people to have active lives, which include driving and frequent exercise. Compared to other options, the process offers a safer option for women wanting to get pregnant. It also promotes optimal hemodynamics, or blood circulation, throughout the body. Unlike other treatments, it removes the requirement for lifetime blood thinner use. Rapid symptom reduction is another significant benefit; many patients report observable improvements soon after surgery.

After surgery, patients usually remain in the hospital for 7–10 days, during which time they are monitored in the intensive care unit. Medication is used to control pain, and cardiac rehabilitation, a gradual return to activity, and routine check-ups are all part of the recovery process. With repeated imaging to check valve function, full healing could take six to twelve weeks.

The Ross Procedure offers an outstanding quality of life and cardiac function, with a 10-year survival rate of over 90%. Children and young people have excellent results in specialised centres, where many patients go decades without needing a valve replacement.

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Explore Hospitals ( 141 )
Ross procedure in Prince Court Medical Centre: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

Prince Court is a private medical facility in the center of Kuala Lumpur that has 277 individual beds. Our dedication is to provide you with the best treatment possible from the time you arrive until you depart, healthier and happier. We are well-known for our top-notch facilities, cutting-edge technology, and friendly customer service.

Ross procedure in Acibadem International Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

Acibadem International Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • The Acibadem International Hospital is spread over an indoor area of atleast 19,000 square meters.
  • It comprises as many as 122 beds which also means there are intensive care beds (26) with observation beds (16).
  • Medical technologies are present such as Whole Body MR, DSA Digital Angiography, EUS (Endoultrasonography), and Ultrasonography.
  • Additional services like Heliport, Prayer Room, Cafeteria, ATM within premises etc. can also be availed.
  • Patients can choose from either a standard room or a suite during their hospital stay.
Ross procedure in Bangkok Hospital: Costs, Top Doctors, and Reviews

Bangkok, Thailand

  • Joint Commission International, or JCI

Bangkok Hospital located in Bangkok, Thailand is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • It is recognised for the application of the newest healthcare technology.
  • Blood analysis center that is not just the best in Thailand but in Asia Pacific as well.
  • Biomolecule center that is the seed of healthcare equipment for Thailand and overseas.
  • International affiliations and collaborations with universities and hospitals in Japan and the United States of America.
  • 11 hospitals are recognised as Centers of Excellence.
  • Known excellence in Trauma, Orthopedics, Cardiovascular, Neurology as well as Cancer Care.
  • There is a proper streamlined patient services process followed in Bangkok Dusit Medical Services, Bangkok, Thailand.
  • A well developed research center showcases the intent of the organisation to provide research based treatment opportunities to the patients.
  • The group has several Medical industry partnerships as well to ensure healthcare solutions.
Ross procedure in Asan Medical Centre: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • ISO 9001

Asan Medical Centre located in Seoul, South Korea is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • 524,700 square meters is the floor area of Asan Medical Centre
  • Number of beds is 2,715
  • 67 operating rooms
  • 11,680 outpatients
  • Everday 2,427 inpatients come to the Centre
  • 66,838 Sophisticated surgeries (per year)
  • 1,600 physicians and surgeons
  • 3,100 nurses
  • Five various types of rooms ranging from suites to multi-bed rooms
Ross procedure in BLK-Max Super Speciality Hospital: Costs, Top Doctors, and Reviews

Delhi, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

BLK-Max Super Speciality Hospital, located in New Delhi, is the leading best-in-class healthcare institution in India, providing tertiary and quaternary care. 650 + beds including 162 critical care beds, 22 OTs with 1,500+ clinical professionals allied to health are at the hospital's disposal. JCI, NABH, and NABL accredited. The hospitals are a leader in transplants, cancer care, and robotic surgery education and implementation. Established in1959 by Dr. B.L. Kapur, the hospital combines state-of-the-art technology with patient-centric values including compassion, efficiency, and consistency.

Ross procedure in Parkway Pantai: Costs, Top Doctors, and Reviews

Kuala Lumpur, Malaysia

  • Joint Commission International, or JCI

Parkway Pantai located in Kuala Lumpur, Malaysia is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Capacity of 335 beds
  • 200+ specialist Doctors
  • Critical Care Unit
  • Neonatal Intensive Care Unit
  • Operating Theatre
  • International Patient Care Center
  • Types of rooms available- Premier Suite, Supreme Suite, Deluxe Single Room, 2-bedded room, 4-bedded room, Deluxe Suite, Premier Single room, and Supreme Single room
Ross procedure in Memorial Ankara Hospital: Costs, Top Doctors, and Reviews

Ankara, Turkey

  • Joint Commission International, or JCI

Memorial Ankara Hospital located in Ankara, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Covers an area of 42,000 sqm of closed area
  • Capacity of 230 beds (60 intensive care units
  • 11 Operating rooms
  • 63 Polyclinics
  • Technologies used by the Hospital are PET/CT, Endosonography-EUS, Elekta Versa HD Signature, etc.
  • Besides the patient rooms and suites where any needs and luxuries of the patients and their relatives are considered, Memorial also has rooms for dissable patients, where all details are designed specially
Ross procedure in Artemis Health Institute: Costs, Top Doctors, and Reviews

Gurgaon, India

3.3 ( 4 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)

Artemis Hospital, established in 2007 in Gurgaon, India, is a 750+ bed, state-of-the-art multi-speciality hospital and the first in Gurgaon accredited by JCI and NABH. A flagship of the Apollo Tyres Group, it offers advanced care across cardiology, oncology, orthopaedics, neurology, and transplant medicine, supported by modern infrastructure and 60+ world-class operating theatres. Its Centres of Excellence span critical areas like heart, cancer, neurosciences, orthopaedics, and women & child care. Guided by values of Service, Compassion, and Integrity, Artemis combines innovation, technology, and affordability, making it a trusted international healthcare destination for comprehensive and compassionate patient care.

Ross procedure in Gleneagles Hospital: Costs, Top Doctors, and Reviews

Singapore, Singapore

  • Joint Commission International, or JCI

Gleneagles Hospital, located on Napier Road in Singapore, is a leading private healthcare institution offering comprehensive medical services and advanced clinical care. With 221 beds and a strong team of medical specialists, the hospital holds the Singapore Quality Class certification for excellence in healthcare. Its state-of-the-art facilities include ICU, HDU, NICU, Urgent Care Centre, operating theatres, radiology, endoscopy, laboratories, and rehabilitation units. Gleneagles specializes in orthopaedics, oncology, women’s health, and gastroenterology, offering tailored programs for cancer, bone, and gut health. With modern maternity packages and patient-friendly rooms, the hospital ensures compassionate, high-quality care focused on safety, comfort, and recovery.

Ross procedure in International St. Mary's Hospital: Costs, Top Doctors, and Reviews

Seoul, South Korea

  • Joint Commission International, or JCI

International St. Mary's Hospital located in Seoul, South Korea is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • 3 Basements and 5 Floors Building
  • International Healthcare Center
  • Korean Traditional Medicine Hospital
  • Hybrid Operation Theatres
  • Conference Rooms
  • Seminar Rooms
  • Auditorium
  • Intensive Care Units
  • Hospice ward
  • Chapel
  • Emergency Medical Center
  • Pathology
  • Outpatient Pharmacy
  • 15 Professional Treatment Centers
  • 35 Clinical Departments
  • Transplant Centers
  • Admission & Discharge Center
  • Counseling office
  • Convenience Store
  • Animal Laboratories
  • Parking in basement
  • Food court for patients & visitors
  • Coffee Shop
  • Free Wi-fi is available throughout the Hospital premises

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Author

Alvina Hasan

M.Pharm

1 Year of Experience

Alvina Hasan is a dedicated medical researcher and scientific writer with a strong foundation in the pharmaceutical sciences. She holds a B.Pharm from Jamia Hamdard University and an M.Pharm in Quality Assurance from DIPSAR University. With deep medical expertise and a strong interest in healthcare communication, she focuses on transforming complex clinical and scientific information into clear, engaging, and easy-to-understand narratives. She develops insightful healthcare articles and research-driven pieces designed to support both medical professionals and patients, helping bridge the gap between advanced medical knowledge and practical understanding. . View More

Reviewer

Dr. Naresh Kumar Goyal

Cardiologist

21 Years of Experience

Dr. Naresh Kumar Goyal is highly trained as a cardiologist with exposure in virtually all aspects of cardiology. He qualified with an MD in internal medicine in 1999 from SMS Medical College, Jaipur, and served in the Cardiology Department as an honorary resident. From this stage, he also started with training in the temporary pacing of the pacemaker as well as interventional services. View More