Also called Switch Procedure
The Ross procedure is usually performed on patients younger than ages 40 to 50 who want to avoid taking long-term anticoagulant medications after surgery. During this procedure, the patient's own pulmonary valve is removed and used to replace the diseased aortic valve. The pulmonary valve is then replaced with a pulmonary homograft.
Step 1: Measurement of the aortic and pulmonic valves.
Step 2: The aorta and pulmonary artery are opened and the aortic and pulmonary valves are carefully inspected to determine if the Ross is an appropriate procedure.
Step 3: The diseased aortic valve is removed. Then, the pulmonary valve (autograft) is removed and placed in the aortic position.
Step 4: The autograft in sutured in place and the coronary arteries are re-attached.
Step 5: A pulmonary homograft is attached to the right ventricle outflow tract.
Step 6: The aorta is attached to the autograft and the pulmonary artery is attached to the homograft - the procedure is complete.
Doctors who treat
Cleveland Clinic has the nation's largest valve treatment program.
Doctors vary in quality due to differences in training and experience; hospitals differ in the number of services available. The more complex your medical problem, the greater these differences in quality become and the more they matter.
Clearly, the doctor and hospital that you choose for complex, specialized medical care will have a direct impact on how well you do. To help you make this choice, please review our Miller Family Heart and Vascular Institute Outcomes.
Cleveland Clinic Heart and Vascular Institute Cardiologists and Surgeons
Choosing a doctor to treat your heart valve disease depends on where you are in your diagnosis and treatment. The following Heart and Vascular Institute Sections and Departments treat patients with Heart Valve Disease:
Department of Cardiovascular Medicine: Heart valve specialists in the following sections provide evaluation, medical management and life-long care of patients with heart valve disease:
Call Cardiology Appointments at toll-free 800.223.2273, extension 4-6697 or request an appointment online.
Department of Thoracic and Cardiovascular Surgery: Surgeons in the Department of Thoracic and Cardiovascular Surgery are experts in the treatment of valve disease, including valve repair or replacement, minimally invasive heart valve surgery, and re-do operations depending on the individual needs of the patient.
For patients requiring interventional or percutaneous valve procedures, specialized multidiscisplinary teams are involved with the evaluation and care. For more information, see:
You may also use our MyConsult
second opinion consultation using the Internet
See: About Us to learn more about the Sydell and Arnold Miller Family Heart & Vascular Institute.
To obtain a surgical consultation, or if you have additional questions or need more information, click here to contact us, chat online with a nurse or call the Miller Family Heart and Vascular Institute Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.
Becoming a Patient
Diagnostic tests are used to diagnose your valve disease and the most effective treatment method.
Our webchats and video chats give patients and visitors another opportunity to ask questions and interact with our physicians.
View a calendar of events and register for future chats. Check the calendar for topics that interest you!
Why choose Cleveland Clinic for your care?
Our outcomes speak for themselves. Please review our facts and figures and if you have any questions don’t hesitate to ask.