{"id":2892,"date":"2022-11-16T04:06:23","date_gmt":"2022-11-16T04:06:23","guid":{"rendered":"https:\/\/www.heart-valve-surgery.com\/learning\/?page_id=2892"},"modified":"2023-09-27T18:56:38","modified_gmt":"2023-09-27T18:56:38","slug":"ross-procedure-reoperations","status":"publish","type":"page","link":"https:\/\/www.heart-valve-surgery.com\/learning\/ross-procedure-reoperations\/","title":{"rendered":"Ross Procedure Reoperations: What Should Patients Know?"},"content":{"rendered":"<p>The <a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/ross-procedure\/\">Ross Procedure<\/a> is an advanced form of aortic valve replacement for patients with aortic valve disease.\u00a0 During this unique operation, developed by Dr. Donald Ross in the 1960s, the patient&#8217;s defective aortic valve is replaced by the patient&#8217;s own pulmonary valve.\u00a0 Then, a homograft (donated human tissue) is placed in the patient&#8217;s vacant pulmonary valve position.<\/p>\n<p>As we have learned, the Ross Procedure is the only form of aortic valve replacement that provides patients the advantages of living tissue within the aortic position.\u00a0 We have also learned that the Ross Procedure can provide patients <a href=\"https:\/\/www.heart-valve-surgery.com\/learning\/ross-procedure-reseach-dr-ismail-el-hamamsy\/\">excellent long-term results<\/a>.\u00a0 (On a personal note, I had the Ross Procedure performed 17 years ago. Since then, I have had no problems.)<\/p>\n<p>Given the Ross Procedure benefits, patients are still curious to know what happens if one or both of the replaced valves fail. For example, Joe recently asked me, &#8220;Is it more common for the aortic valve or pulmonary valve to fail?&#8221; and &#8220;If the aortic or pulmonary valve fails, can a transcatheter valve replace the failing valve without an open-heart procedure?&#8221;<\/p>\n<p>To answer these important questions, I interviewed <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Michael-Ibrahim-Philadelphia-Pennsylvania.php\">Dr. Michael Ibrahim<\/a>, a leading cardiac surgeon and Ross Procedure specialist from Penn Medicine in Philadelphia, Pennsylvania.\u00a0 During his career, Dr. Ibrahim has performed over 1,000 heart valve procedures including many Ross Procedures.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><iframe loading=\"lazy\" title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/WpwZN61Rh80?rel=0\" width=\"650\" height=\"366\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<h2><\/h2>\n<h2>Key Learnings About Ross Procedure Reoperations<\/h2>\n<p>Here are important learnings from Dr. Ibrahim about Ross Procedure reoperations:<\/p>\n<ul>\n<li>A critical advantage of the Ross Procedure is that it restores normal life survival. &#8220;The benefit of the Ross operation is that it\u2019s the only operation which provides a living sophisticated heart valve that can do all of the amazing things that your normal, natural valve can do,&#8221; states Dr. Ibrahim. &#8220;This has been shown to really have a bearing on clinical outcome. It\u2019s the only operation for aortic valve disease compared to mechanical or tissue valves that restores normal life survival.&#8221;<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Michael-Ibrahim-Philadelphia-Pennsylvania.php\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full\" src=\"https:\/\/www.heart-valve-surgery.com\/profileImages\/454_129_173.jpg\" alt=\"Dr. Michael Ibrahim - Penn Medicine Heart Surgeon\" width=\"129\" height=\"173\" \/><\/a><br \/>\n<a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Michael-Ibrahim-Philadelphia-Pennsylvania.php\">Dr. Michael Ibrahim<\/a><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>If a Ross Procedure, which is a two-valve operation fails, the aortic valve is more likely to fail than the pulmonary valve. Doctor Ibrahim states, &#8220;If you should require a reoperation on one of the heart valves that\u2019s been operated on, it\u2019s likely to be the aortic valve, the new aortic valve, but the chances of that are low. Within 15 years after the operation, only about 30% of patients will require a reoperation. On the pulmonary valve, if the operation is done correctly in the way that it was originally described, less than 2% of patients will require a reoperation on the right side of the heart.&#8221;<\/li>\n<li>To replace a failing aortic or pulmonary valve after a Ross Procedure, it is possible to receive a non-invasive transcatheter valve replacement that does not require an incision to the patient&#8217;s chest or ribs or the use of the lung-machine. &#8220;Transcatheter valve replacement through the groin is now the primary way of replacing failing Ross pulmonary valves of the right side if that happens, which is rare,&#8221; states Dr. Ibrahim. &#8220;On the left side of the heart, on the aortic side, it can also be used, but one of the things is that sometimes Ross patients are so young that when they come to reoperation, if that occurs, it may not be the best option for them, but it is certainly one option.&#8221;<\/li>\n<\/ul>\n<h2><\/h2>\n<h2>Thanks Dr. Ibrahim &amp; Penn Medicine!<\/h2>\n<p>Many thanks to <a href=\"https:\/\/www.heart-valve-surgery.com\/surgeons\/dr-Michael-Ibrahim-Philadelphia-Pennsylvania.php\">Dr. Michael Ibrahim<\/a> for taking time away from his very busy practice to share these fantastic insights about Ross Procedure reoperations with our patient community. In addition, I&#8217;d like to thank Penn Medicine for taking care of so many patients in our community including Patricia Garcia, Michael Casey, and Theresa Gusset.<\/p>\n<p>Keep on tickin!<br \/>\nAdam<\/p>\n<p>P.S. For the deaf and hard of hearing members of our community, I have provided a written transcript of my interview with Dr. Ibrahim below.<\/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-2892","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\/2892","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=2892"}],"version-history":[{"count":25,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2892\/revisions"}],"predecessor-version":[{"id":3074,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/pages\/2892\/revisions\/3074"}],"wp:attachment":[{"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/media?parent=2892"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.heart-valve-surgery.com\/learning\/wp-json\/wp\/v2\/categories?post=2892"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}