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J Thorac Cardiovasc Surg 2008;136:1390-1391
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Single-stage versus 2-stage repair of coarctation of the aorta with ventricular septal defect

Cardiothoracic Center, All India Institute of Medical Sciences, New Delhi, India

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

To the Editor:

We read with interest the article by Walters and colleagues¹ on single- versus 2-stage repair of coarctation (CoA) with ventricular septal defect (VSD) and congratulate the authors for excellent outcomes in patients undergoing single-stage repair of both lesions. However, we would be very cautious in adopting this strategy just because it has been shown to be technically feasible and equally effective in the authors' experience. As the authors have acknowledged themselves, the study population comprises patients spread over a long time frame. We may understand here that when the surgical protocols were developing at the authors' institution, the authors . . . [Full Text of this Article]