The Ross procedure, which eliminates the need for anticoagulation therapy in pediatric aortic valve surgery, is a groundbreaking procedure. However, its major limitation lies in the long-term risk of developing two-valve disease in patients.
This paper reports a case study following the Ross procedure.

Chiaki Aichi, Keiichi Itatani, Takumi Kawase, Hisao Suda, "Valve-sparing double root replacement after the Ross procedure", JOURNAL OF SURGICAL CASE REPORTS, Journal of Surgical Case Reports, Volume 2024, Issue 5, May 2024, rjae294, (2024) https://doi.org/10.1093/jscr/rjae294.