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J Thorac Cardiovasc Surg 2007;133:1309-1310
© 2007 The American Association for Thoracic Surgery


Surgery for Congenital Heart Disease

Discussion

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

Dr Vaughn A. Starnes (Los Angeles, Calif) [presented on Dr Starnes’ behalf by Dr John Hawkins].

Dr John Hawkins. (Salt Lake City, UT). I am not going to try to do my Vaughn Starnes impression this morning. I am substituting for Vaughn, who could not be here today.

First of all, I congratulate Dr Quinonez on a nice presentation. This is important not only for pediatric surgeons but for adult surgeons as well, because many of these patients are not children. They are adults with Ebstein anomaly even though it is a congenital defect. The Mayo group clearly has been the leader in the treatment of Ebstein anomaly over the years, and we look to your guidance frequently. I do, anyway, because you have so much experience. In the manuscript you reported about 640 patients who had undergone repair since 1972. By my calculations, I would be about 150 or 200 years old before I accumulated that experience, so we need your guidance to tell us what to do. Most of my questions are going to center around the idea of using your experience to lessen my and our learning curve in treating these patients.

From what I can determine (doing the math), between 1972 and 1999 you treated 473 patients with Ebstein anomaly and never did a BCPS. Since 1999, you have treated 167 patients with Ebstein and 14 patients underwent BCPS. In the . . . [Full Text of this Article]


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