In this procedure the damage to the valve is beyond repair and it must be replaced. This is done usually with a prosthetic one in cath labs however, if the patient is a child, the replacement valve must grow as the childs heart becomes larger with age. In this case, Ross procedure is performed. The aortic valve is damaged and is affecting the cardiac output negatively.
The surgeon cuts out the pulmonary valve and sutures it on a heart vessel prosthetic graft.
Then the damaged aortic valve is removed and the pulmonary valve is sutured in its place.
A donor valve is also sutured on a prosthetic graft and placed where the pulmonary valve originally was.
The efficacy of this procedure is high and the success rate is overall good. The patient does not need any future procedures recovery.