{"id":2120,"date":"2022-04-26T19:55:23","date_gmt":"2022-04-26T19:55:23","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=2120"},"modified":"2023-09-27T18:43:52","modified_gmt":"2023-09-27T18:43:52","slug":"ross-procedure-reseach-dr-ismail-el-hamamsy","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/ross-procedure-reseach-dr-ismail-el-hamamsy\/","title":{"rendered":"Patient Research Alert: Ross Procedure Survival Advantages &#038; More"},"content":{"rendered":"<p>Patient interest in the <a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/ross-procedure\/\">Ross Procedure<\/a> has skyrocketed within the HeartValveSurgery.com community.\u00a0 While this unique form of aortic valve replacement has been disregarded by some physicians, new durability research and patient success stories have created a revived interest in this advanced operation for select patient types.<\/p>\n<p>Recently, <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Ismail-El-Hamamsy-New+York+City-New%20York.php\">Dr. Ismail El-Hamamsy<\/a> published a very interesting study in the Journal of American College of Cardiology about the Ross Procedure that generated even more interest in the Ross Procedure.\u00a0 In the video below, we interviewed Dr. El-Hamamsy about the findings of his new Ross Procedure research and its impact on patients diagnosed with aortic valve disease.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/ZzWwl2iobnw\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>&nbsp;<\/p>\n<h2>Key Findings About the Ross Procedure<\/h2>\n<p>The key learnings from Dr. El-Hamamsy&#8217;s research about the Ross Procedure and our interview include:<\/p>\n<ul>\n<li>With nearly 600 Ross Procedures completed, Dr. El-Hamamsy is one of the most experienced Ross Procedure surgeons in the world.\u00a0 Dr. El-Hamamsy lectures and conducts training courses specific to the Ross Procedure in cardiac centers around the world.<\/li>\n<li>The Ross Procedure is an advanced form of aortic valve replacement. Instead of using a mechanical or biological valve made from cow or pig tissue, the patient&#8217;s pulmonary valve is removed from the pulmonary position and moved to the aortic position. Then, a human donor valve is inserted in the pulmonary position.\u00a0 As Dr. El-Hamamsy states, &#8220;The Ross Procedure is a bit like a domino operation.&#8221;<\/li>\n<li>There are several reasons why Dr. El-Hamamsy suggests that the pulmonary valve is the &#8220;ideal aortic valve substitute&#8221; including (i) the pulmonary valve is a living valve, (ii) the pulmonary valve looks exactly like the aortic valve, and (iii) the pulmonary valve is the patient&#8217;s own tissue.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2129 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Aortic-Valve-Substitute.jpg\" alt=\"Ross Procedure - Ideal Aortic Valve Subsitute\" width=\"650\" height=\"364\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Dr. El-Hamamsy&#8217;s personal experience with the Ross Procedure began over 15 years ago when he was writing his PhD thesis, &#8220;<a href=\"https:\/\/www.heart-valve-surgery.com\/The-Living-Aortic-Valve-Dr-Ismail-El-Hamamsy.pdf\">The Living Aortic Valve&#8221;<\/a>, which revealed several cellular and molecular mechanisms of aortic valve disease and aortic valve function.\u00a0 While developing his thesis, Dr. El-Hamamsy worked with Dr. Magdi Yacoub, a Ross Procedure surgeon, who was evaluating randomized trials specific to the Ross Procedure.\u00a0 The results of those trials suggested that the Ross Procedure could, when performed correctly, restore patient survival for the long-term.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.heart-valve-surgery.com\/The-Living-Aortic-Valve-Dr-Ismail-El-Hamamsy.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2131 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Living-Aortic-Valve-Dr-Ismail-El-Hamamsy.jpg\" alt=\"Living Aortic Valve by Dr. Ismail El-Hamamsy\" width=\"650\" height=\"364\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>There are many advantages of the Ross Procedure including (i) normal survival up to 20 years, (ii) excellent hemodynamics (blood flow through the heart), and (iii) lower risks of infections, stroke and blood clots.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2130 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Ross-Procedure-Benefits-Dr-Ismail-El-Hamamsy.jpg\" alt=\"Ross Procedure Benefits\" width=\"650\" height=\"365\" \/><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>In the new Ross Procedure research study, &#8220;<a href=\"https:\/\/www.heart-valve-surgery.com\/Ross-Procedure-Compared-To-Mechanical-Aortic-Valves.pdf\">Propensity-Matched Comparison of the Ross Procedure and Prosthetic Aortic Valve Replacement in Adults&#8221;<\/a>, published in the Journal of American College of Cardiology, Dr. El-Hamamsy evaluated the performance and durability of the Ross Procedure across multiple cardiac centers in California and New York.\u00a0 This was a unique approach for research which previously focused on Ross Procedure results from a single surgeon or cardiac center.\u00a0 The study also evaluated the performance of the Ross Procedure compared to patients who received mechanical and bioprosthetic tissue valves.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.heart-valve-surgery.com\/Ross-Procedure-Compared-To-Mechanical-Aortic-Valves.pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-2133 aligncenter\" src=\"https:\/\/www.heart-valve-surgery.com\/learning\/..\/Images\/Ross-Procedure-Research-Study-Dr-Ismail-El-Hamamsy.jpg\" alt=\"Ross Procedure Research by Dr. Ismail El-Hamamsy\" width=\"700\" height=\"725\" \/><\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>Research Finding #1: At 15 years after surgery, survival of patients who underwent the Ross Procedure was exactly identical to the age, sex and race match of the United States general population.<\/li>\n<li>Research Finding #2: If patients received a mechanical or a biological aortic valve replacement, the patient&#8217;s life expectancy was lower at 15 years.<\/li>\n<li>Research Finding #3: Rate of valve-related complications was significantly lower with the Ross Procedure than it was with a biological or mechanical valve replacement.<\/li>\n<li>Research Finding #4: Thirty-day mortality after a stroke, major bleeding and endocarditis were significantly higher than the mortality associated with a reoperation.<\/li>\n<li>Dr. El-Hamamsy believes one of the key advantages that leads to longer survivability of the Ross Procedure compared to mechanical and biological valves may be hemodynamics. Dr. El-Hamamsy states, &#8220;Our hypothesis is that the answer is in the hemodynamics across the valve and how much the ventricle has to work, particularly when patients exercise.&#8221;<\/li>\n<li>To further help surgeons and their patients benefit from the Ross Procedure, Dr. El-Hamamsy is continuing his research.\u00a0 Recently, Dr. El-Hamamsy published an editorial comment in the Journal of American College of Cardiology titled, <a href=\"https:\/\/www.heart-valve-surgery.com\/Ross-Procedure-Editorial-Comment-Dr-Ismail-El-Hamamsy.pdf\">&#8220;The Ross Procedure: Clinical Relevance, Guidelines Recognition and Centers of Excellence&#8221;<\/a>,\u00a0 that addressed (i) opportunities to enhance surgical techniques and (ii) the advantages of developing Ross Procedure Reference Centers.<\/li>\n<li>For patients considering the Ross Procedure, Dr. El-Hamamsy&#8217;s top advice is (i) to research the Ross Procedure and (ii) talk openly with the patient&#8217;s cardiologist and surgeon about the Ross Procedure. As Dr. El-Hamamsy states, &#8220;Not all surgeons can do the Ross Procedure, but all sorts of surgeons should know about the Ross Procedure and should be able to propose to the patient to discuss with a surgeon in the vicinity or in the region who does the Ross Procedure.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h2>Many Thanks Dr. El-Hamamsy &amp; Mount Sinai Hospital<\/h2>\n<p>On behalf of our patient community, many thanks to Dr. El-Hamamsy for taking the time to share his new research and editorial about the Ross Procedure with us.\u00a0 And, many thanks to Mount Sinai Hospital for taking great care of the HeartValveSurgery.com patients.<\/p>\n<p>Related Links:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/videos\/ross-procedure-advantages\">Patient Webinar: Advantages of the Ross Procedure<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/heart-surgery-blog\/2020\/05\/26\/ross-procedure-patient-runner\/\">Ross Procedure Success Story: Elizabeth Runs to Support Heart Disease Patients<\/a><\/li>\n<li><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Ismail-El-Hamamsy-New+York+City-New%20York.php\">See the Interactive Surgeon Profile of Dr. Ismail El-Hamamsy<\/a><\/li>\n<\/ul>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"cms.php","meta":{"_acf_changed":false,"footnotes":""},"categories":[16],"class_list":["post-2120","page","type-page","status-publish","hentry","category-ross-procedure"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2120","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/comments?post=2120"}],"version-history":[{"count":18,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2120\/revisions"}],"predecessor-version":[{"id":3853,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2120\/revisions\/3853"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=2120"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=2120"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}