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J Thorac Cardiovasc Surg 2009;137:1332-1333
© 2009 The American Association for Thoracic Surgery

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Dr Anees J. Razzouk (Loma Linda, Calif). Congratulations on a nice presentation. Ivan Rebeyka regrets not being here this morning. I will be reading his comments and asking you his questions.

The authors are to be applauded for their initiative in combining the experience from separate centers in Salt Lake City and Denver to provide us with important information in the management of children with Marfan and Marfan-like syndromes. The essence of their data relates to the 30 patients who underwent aortic root surgery at a mean age of 14 years and in whom 21 had a valve-sparing procedure compared to 9 having a composite replacement or a Bentall-type procedure. The two most important surgical decisions required in this group of patients is when to operate and if so what operation to perform. While it is difficult to argue . . . [Full Text of this Article]






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Copyright © 2009 by The American Association for Thoracic Surgery.