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J Thorac Cardiovasc Surg 2008;136:80-81
© 2008 The American Association for Thoracic Surgery

Invited Commentary

Discussion

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

Dr Aidan A. Raney (Newport Beach, Calif). I enjoyed this presentation very much. Dr McCarthy is making a major contribution. As he mentioned, the repairability rate of valves in this country is in the 40% to 50% range. However, if the most complex valves with excessive tissue are included, the overall repairability rate is probably going to be significantly lower, maybe in the 30% range. This device is a tremendous advance. Not only does it simplify the procedure but it also reduces the risk of SAM.

When we looked at our series of over 200 patients about 11/2 years ago, we also had about a 5% incidence of SAM that required a second pump run and correction.

I have a few questions for you. In your series, are you repairing all the myxomatous valves with . . . [Full Text of this Article]






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