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Case Reports
. 2025 Aug;120(2):412-414.
doi: 10.1016/j.athoracsur.2025.04.039. Epub 2025 May 26.

The Living Ross Procedure: A New Paradigm in Partial Heart Transplantation

Samuel Kesseli  1 , Seth E M Wolf  2 , Jacob N Schroder  1 , Ziv Beckerman  1 , Douglas M Overbey  3 , Joseph W Turek  4
Affiliations
Case Reports

The Living Ross Procedure: A New Paradigm in Partial Heart Transplantation

Samuel Kesseli et al. Ann Thorac Surg. 2025 Aug.

Abstract

In the Ross procedure, homograft stenosis and regurgitation have limited the longevity of the right ventricle-to-pulmonary artery (RV-PA) conduit. Partial heart transplantation (PHT) facilitates conduit growth throughout the life of the child. We report the application of PHT of the RV-PA conduit during a Ross procedure, "living Ross," in a 3-year old patient with a congenital unicuspid aortic valve. Pulmonary autograft was used in the aortic position, and an aortic root allograft from the cardiectomy of an adult heart transplant recipient served as the RV-PA conduit. We hypothesize that this Ross procedure, the living Ross, improves the longevity of the RV-PA conduit.

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Conflict of interest statement

Disclosures Joseph W. Turek reports a relationship with Surge Ingenuity that includes: board membership and equity or stocks. All other authors declare that they have no conflicts of interest.

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