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J Thorac Cardiovasc Surg 2007;133:299
© 2007 The American Association for Thoracic Surgery
Editorial |
Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio.
Received for publication September 7, 2006; accepted for publication October 9, 2006. * Address for reprints: Bruce W. Lytle, MD, Chairman, Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, 9500 Euclid Ave, F24, Cleveland, OH 44195. (Email: lytleb@ccf.org).
| The first 20% of the full text of this article appears below. |
The concept of cardiologists implanting percutaneous aortic valves in an angiography suite evokes multiple reactions from cardiac surgeons. Rarely are these reactions particularly favorable. The opinions of cardiac surgeons regarding the development and the potential abuse of these percutaneous technologies sound familiar because similar opinions were expressed in response to the development of percutaneous coronary technologies a quarter of a century ago.
The concerns regarding percutaneous aortic valves include "we have a great operation now," "few patients are inoperable," "the percutaneous devices have problems," "it will be dangerous because these devices will be misused," and "patients will not
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