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J Thorac Cardiovasc Surg 2003;126:2118-2119
© 2003 The American Association for Thoracic Surgery

Letter to the editor

Reply to the Editor

Tirone E. David, MD, Joan Ivanov, PhD, Susan Armstrong, MSc, Harry Rakowski, MD

Division of Cardiovascular Surgery, Toronto General Hospital and University of Toronto, Toronto, Ontario, Canada

The first 20% of the full text of this article appears below.

Dr Shuhaiber makes some valid points about our study,1 but many of his comments are irrelevant. He ignored the fact that ours was an observational study and did not establish causation but rather an association between functional class and late mortality after mitral valve repair for mitral regurgitation caused by prolapse. The objectives of the study were clearly defined, and in addition to showing the late outcomes of mitral valve repair for floppy valves it also showed associations between certain preoperative variables and late mortality by multivariable analysis with bootstrap validation. Our study was not a prospective randomized trial, and consequently we could not control the variables before the operation as he suggested. This is, of course, a . . . [Full Text of this Article]


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Reply to the Editor
Ray C.-J. Chiu
J. Thorac. Cardiovasc. Surg. 2003 126: 2117. [Extract] [Full Text] [PDF]





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