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J Thorac Cardiovasc Surg 2007;133:168
© 2007 The American Association for Thoracic Surgery

Surgery for Acquired Cardiovascular Disease

Discussion

Dr Michael S. Mulligan (Seattle, Wash). The correlation of postoperative patient functional status and right heart recovery is intuitive but has not been documented so clearly before. You are to be commended for your detailed and long-term follow-up. Those of us who care for these patients and perform this operation have observed these findings, but your documentation of these phenomena will be an important contribution to our understanding of this disease and the physiologic effects of unloading the right heart in general.

There would be tremendous value if these data could be used to predict and not simply document a successful outcome. You have attempted to identify predictors of clinical failure. You had full sets of data on patients preoperatively; however, the variables examined were often postoperative assessments. As . . . [Full Text of this Article]

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