The presentation gives an Overview of ROSS operation and delves in to depth in 3 key areas as follows: 1. Our experience 2. Special situations 3. RVOT Reconstruction with xenografts

1. K.M. Cherian MS FRACS DSc (Hons) DSc (HC) Frontier Lifeline & Dr.K.M.Cherian Heart Foundation, Chennai Experience with Ross Procedure in India Frontier Lifeline Chennai Ross Summit II - 2009 Atlanta

3. Top 10 Economies Ranking Country Approximate GDP- Purchasing Power Parity 1 USA $13,860,000,000,000 2 China $7,043,000,000,000 3 Japan $4,305,000,000,000 4 India $2,965,000,000,000 5 Germany $2,833,000,000,000 6 United Kingdom $2,147,000,000,000 7 Russia $2,076,000,000,000 8 France $2,067,000,000,000 9 Brazil $1,838,000,000,000 10 Italy $1,800,000,000,000

8. Frontier Conclave 2005 Frontier Conclave 2006 Prof Zohair Al-Halees 7 Ross Procedures & 1 Ross Kono in 2 days with no mortality

10. 16 th December 1974 Mr. Donald Ross arrange but at the age of 23, I would be much happier putting in a homograft valve and would certainly use it if it were my own son.

13. DOS:22.12.1995

25. Post-op Echo

31. Number of functioning homograft banks in the country: 3

38. DSC showing collagen stability of Tissue (>80 ° C)

40. Operative photograph showing processed BP implanted as an interposition graft in the internal jugular vein of sheep Group A explanted from the sheep after 6 months showing thickening of the vessel wall

50. National Medical Science Park Welcome to Chennai 20.10.2010