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. 2021 Oct 31;10(21):5140. doi: 10.3390/jcm10215140

Table 1.

Decision Making Algorithm. Ross Procedure for young patients.

Not Mentioned in the EACTS/ESC Guidelines from 2021 [6] Supported by ACC/AHA Guidelines from 2020 [5]
-Class 2b for Patients Younger than 50 Years
Pros Cons
  • -

    Increasing level of evidence

  • -

    Low rate of valve related complications

  • -

    Possibilities of percutaneous procedure for valves degenerescence

  • -

    Better quality of life

  • -

    Hemodynamic superiority

  • -

    No need for anticoagulation

  • -

    Excellent choice for actives persons

  • -

    Proved long time survival

  • -

    Feasible by full sternotomy with reduced skin incision
  • -

    Still need to be supported by strong evidence data

  • -

    Complex procedure; need to be done in high volume aortic centers

  • -

    Only few mentorships’ programs and long learning curve

  • -

    Low availability of pulmonic homograft’s

  • -

    Complex redo procedure

  • -

    Costly operation

  • -

    Bad reputation to rehabilitate