Give Online: Help shape patient care for generations to come.
Cleveland Clinic Logo

Appointments

800.659.7822

Request an Appointment

Questions

800.659.7822

Contact us with Questions

Expand Content

Aortic Valve: Ross Procedure

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.


Measurement of the aortic and pulmonic valves

Step 1: Measurement of the aortic and pulmonic valves.


The aorta and pulmonary artery are opened and inspected

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.


The diseased aortic valve is removed

Step 3: The diseased aortic valve is removed. Then, the pulmonary valve (autograft) is removed and placed in the aortic position.


The autograft in sutured in place and the coronary arteries are re-attached

Step 4: The autograft in sutured in place and the coronary arteries are re-attached.


A pulmonary homograft is attached to the right ventricle outflow tract

Step 5: A pulmonary homograft is attached to the right ventricle outflow tract.


The aorta is attached to the autograft and the pulmonary artery is attached to the homograft - the procedure is complete

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.

Contact

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

Conditions

Treatment Guides

Diagnostic Tests

Diagnostic tests are used to diagnose your valve disease and the most effective treatment method.

Anatomy

Webchats

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!

Videos

Interactive Tools

Resource Links


Surgical Outcomes

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.

Download

Reviewed: 08/15

Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)

Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.

Schedule an Appointment

Toll-free 800.659.7822

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2016 Cleveland Clinic. All rights reserved.