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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 Assuta Hospital: Costs, Top Doctors, and Reviews

Tel Aviv, Israel

  • Joint Commission International, or JCI

Assuta Hospital located in Tel-Aviv, Israel is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Annual numbers for Assuta Hospital group
    • 92,000 surgeries
    • 683,000 healthcare examinations, ambulatory treatments
    • 440,000 imaging tests
    • 4,000 (approx.) cardiac catheterization diagnosis, treatments
    • 16,000 (approx.) IVF treatments
    • 500 (approx.) kinds of surgical procedures
  • Assuta Hospital, Tel Aviv, is an important healthcare facility which is recognised for being a surgical specialist.
  • Even in the surgical specialty, Assuta Hospital, Tel Aviv performs superlative Minimally Invasive Surgeries.
  • Impressive imaging technology is present in the hospital, such as CT (advanced), PET-CT, MRI and two-head nuclear imaging camera.
  • 15 Operating Theatres
  • 200 plus beds
  • Resuscitation units
  • 2 monitoring laboratories

Ross procedure in Yashoda Hospital, Malakpet: Costs, Top Doctors, and Reviews

Hyderabad, India

  • National Accreditation Board for Hospitals & Healthcare Providers (NABH)
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Yashoda Hospital, Malakpet located in Hyderabad, India is accredited by NABH, NABL. Also listed below are some of the most prominent infrastructural details:

  • Multi-bed facility
  • High-tech labs, modular operation theaters
  • Advanced medical equipement
  • Dedicated rooms for patients with all facilities
  • State-of-art technology
  • 24/7 blood bank
  • State of the art Cardio-Thoracic Center with the latest CATH LAB Equipment & Modular steel operation theatre
  • Neurosurgery department equipped with an operating microscope, high-speed drill & stereotaxy
  • 24-hour Emergency services to take care of all kinds of trauma and other orthopedic emergencies
  • Pulmonology department equipped with modern gadgets.
  • One of the best PFT labs and bronchoscopy units
  • Nephrology services include Renal Biopsy, AV Fistulas, AV Grafts & Permanent Catheter Insertions, Hemodialysis; Temporary Access For Dialysis; Peritoneal Dialysis
  • Has a comprehensive cancer care unit following a trans-disciplinary & multi-modality approach
  • State-of-the-art services of Digital X rays, Flouroscopy, Ultrasonography, OPG, Mammography, CT 64 Slices, MRI, etc.
  • Airport Transfer Service
  • Scheduling Of All Medical Appointment
  • Processing Of Medical Second Opinion
  • Provide Language Interpreter
  • Special Dietary Needs / Religious Arrangement
  • Coordination Of Admissions Process
  • Cost Estimates For Anticipated Treatments
  • Foreign Exchange service
  • Billing and Finance Related Service
  • Providing Information Of Patient’s Relatives Back Home
Ross procedure in Anadolu Medical Center: Costs, Top Doctors, and Reviews

Kocaeli, Turkey

  • Joint Commission International, or JCI
  • ISO 9001

Anadolu Medical Center located in Kocaeli, Turkey is accredited by ISO, JCI. Also listed below are some of the most prominent infrastructural details:

  • The Medical Center is present over an area of 188.000 square meters. This is inclusive of the indoor area which is 50 thousand square meters.
  • Let us also have a look at some of the important infrastructure pointers of this hospital.
  • Bed capacity of 201
  • Outpatient Clinic at Ata?ehir
  • Bone Marrow Transplantation Center that opened its doors in June 2010
  • Developed and using latest technologies such as IMRT and Cyberknife
  • Multidisciplinary care
  • An OECI-designated clinical cancer centre
Ross procedure in Czech Medical Center: Costs, Top Doctors, and Reviews

Brno, Czechia

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Czech Medical Center located in Brno, Czechia has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • A streamlined and well developed process for International patients at Czech Medical Center, Brno, Czechia.
  • It is the most specialised medical center providing complex care.
  • The center possesses the latest technologically upgraded equipment.
  • Really less waiting times, generally between four to six weeks
  • Best treatment provided to the patients by world class specialists
  • The center was awarded, first place in Europe, with NIAHOSM certificate.
  • The center is in the possession of many more quality certificates.
Ross procedure in Aster CMI Hospital: Costs, Top Doctors, and Reviews

Bangalore, India

5.0 ( 1 Reviews )
  • Joint Commission International, or JCI
  • National Accreditation Board for Testing and Calibration Laboratories (NABL)

Aster CMI Hospital located in Bengaluru, India is accredited by JCI, NABH. Also listed below are some of the most prominent infrastructural details:

  • Around 500 bed capacity
  • Primary care to Quaternary care services
  • Outpatient and inpatient departments
  • Day care center for small children
  • Availability of Surgical suites
  • Intensive Care Units
  • 24-hour Emergency and Trauma Care
  • Emergency Unit especially for children
  • Newly launched the Lung and Heart Transplant Centre
  • Video Consultation with doctors available on GraphMyHealth
  • A specialised Aster Center of Excellence for Women & Children
  • Latest Minimally Invasive Procedures being performed
  • Safe Interventional Procedures
  • Control of Infection protocols are strictly followed
  • Aster Holistic Collaborative Care: Aster Palliative Care for lowering suffering if critically ill patients, Physical Medicine & Rehabilitation, Aster Wellness, Psychology, Chronic Pain Management, Nutrition & Dietetic, Podiatry Care etc.
  • 11 Centers of Excellence
  • An academics focus with BSc Program, MEM Program, Pediatric Fellowship Program
  • A streamlined International patient care center with dedicated services and technology enabled processes
Ross procedure in Lenmed Ethekwini Hospital and Heart Centre: Costs, Top Doctors, and Reviews

Durban, South Africa

4.9 ( 1 Reviews )

Apart from in-detail treatment procedures available, Lenmed Ethekwini Hospital and Heart Centre located in Durban, South Africa has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 377 bed capacity
  • 24 hour accident and emergency unit
  • Heart, lung and kidney transplants available
  • Pediatric Cardiac Surgery services
  • Cardiac Centre of Excellence for Adult & Paediatric Cardiac Surgery
  • Two Cardiac Catheterisation Labs
  • Cardiac Theatre
  • 7 Major Operating Theatres
  • 42 Bed ICU
  • Neuro Operating Theatre
  • Stroke Centre of Excellence
  • Renal Centre of Excellence
  • 24/7 Emergency unit
  • Transplant Program
  • Pharmacy and Prayer Facility
Ross procedure in I.A.U VM Medical Park Florya Hospital: Costs, Top Doctors, and Reviews

Istanbul, Turkey

  • Joint Commission International, or JCI

I.A.U VM Medical Park Florya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:

  • Situated on an area of 51.000 m2
  • Capacity of 300 beds
  • 13 Operating rooms
  • 92 Polyclinics
  • Emergency Unit
  • Intensive care Unit
  • Parking lots
  • Places of worship
  • Rooms designed according to different needs offer the comfort of a 5-star hotel
  • Special services are provided in all rooms, from television with domestic and foreign channels to internet service, from patient-specific diet menu to newspaper and magazine service
  • Cafe/Restaurant with delicious menu
Ross procedure in University Hospital Quironsalud Madrid: Costs, Top Doctors, and Reviews

Madrid, Spain

  • Joint Commission International, or JCI
  • ISO 9001

Apart from in-detail treatment procedures available, University Hospital Quironsalud Madrid located in Madrid, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • 54,000 square meters is the area of the hospital.
  • It has huge healthcare capacities with an annual number of 300,000 plus consultations and surgical procedures.
  • The hospital has 39 medical as well as surgical disciplines.
  • There are a variety of rooms available in the hospital which includes 235 individual rooms, as many as 57 suites with 4 royal rooms, 14 Intensive Care unit beds, 8 pediatric ICU beds and 18 Neonatal ICU beds.
  • There are over 70 out-patient clinics present in the hospital.
  • Quironsalud Madrid University Hospital, Madrid has 21 advanced operation rooms.
  • It also possesses one da Vinci surgical robot.
  • The international patient care of the hospital is top notch.
Ross procedure in Dexeus University Hospital: Costs, Top Doctors, and Reviews

Barcelona, Spain

  • Joint Commission International, or JCI

Apart from in-detail treatment procedures available, Dexeus University Hospital located in Barcelona, Spain has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, SIM, TV inside room. Also listed below are some of the most prominent infrastructural details:

  • There are more than 450 medical professionals working in Dexeus University Hospital, Barcelona, Spain.
  • Facilities include 4 royal suites, 166 single rooms, 13 operating theatres, 564 parking spaces, 5 delivery rooms, day hospital, 140 consultation rooms.
  • The very latest technological and functional equipment and treatment applications.
  • Technological equipment include 1 CAT scanner, 1 PET-CT scanner, 3 MRI scanners, 10 ultrasound machines, 2 neurosurgery surgical microscopes, and 14 operating tables.
  • Care services include Obstetrics area with 24-hour emergency care service, Neonatology Unit and Level III Neonatal ICU, Lung Cancer Early Diagnosis Programme, Rehabilitation and Physiotherapy, Epilepsy Advanced Diagnosis and Emergency Surgery Unit, Congenital Cardiopathy, Growth Disorders and Intensive Care Unit (ICU).
  • Personalised treatment of patients is available.
  • Focus on research based treatment processes and academics.
  • Main international insurance companies are available to provide the best options to the patients.
  • Multilingual personalised care available for patients per their needs and requirements.
Ross procedure in Quironsalud Torrevieja Hospital: Costs, Top Doctors, and Reviews

Torrevieja, Spain

  • ISO 9001

Quironsalud Torrevieja Hospital located in Torrevieja (Alicante), Spain is accredited by ISO. Also listed below are some of the most prominent infrastructural details:

  • The national and international partners of Quironsalud Torrevieja Hospitalmake it a healthcare centre of excellence.
  • The technological upgrades in the hospital have made it the choice of patients in specialties such as Nephrology, Neurology, Orthopedics, Cardiac surgery etc.
  • There are over 35 medical specialties in the hospital.
  • The number of private rooms in the hospital are more than 70 and 45 plus consultation rooms and more than 6 operation theatres.
  • The number of suites are 4 suites and there are 4 royal suites.
  • Ultrasound machines, linear accelerators and even PET-CT, MRI, CAT scan options are present.

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Author

Fauzia Zeb Fatima
Fauzia Zeb Fatima

M.Pharm

4 Years of Experience

Fauzia Zeb is a distinguished medical and scientific content writer with a robust academic foundation in pharmaceutical sciences, holding a B.Pharm and M.Pharm degree from prestigious institutions, including MIT and Jamia Hamdard University. Her comprehensive expertise in pharmacology, clinical sciences, and biomedical research enables her to translate complex medical and scientific concepts into precise, evidence-based content tailored for diverse audiences. Specializing in peer-reviewed articles, clinical blog posts, and research-driven publications, she demonstrates a consistent ability to bridge the gap between advanced medical science and accessible, audience-specific communication.. View More

Reviewer

Dr. Naresh Kumar Goyal
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

Last Reviewed - January 2026