Surgeon Q&A: Ross Procedure Failure Rates

What happens if a heart valve needs treatment years after a Ross Procedure? In this video, Dr. William Brinkman of Baylor Scott & White The Heart Hospital - Plano answers a patient's questions about the long-term durability of the pulmonary autograft and donor homograft. He explains why their failure rates appear similar and shares an estimate of approximately 10% per decade based on long-term outcomes from his center and others.

Dr. Brinkman also explains how repeat interventions may be approached, including when transcatheter procedures may be possible and why younger patients might need open surgery with an experienced Ross surgeon. He discusses findings from his center showing that patients who needed reintervention remained on the same survival curve, particularly when the autograft could be preserved. (Video posted on October 27, 2026)

Doctor Interviewed

Director of the Thoracic Aortic Clinic

Baylor Scott & White The Heart Hospital - Plano

Plano, Texas

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