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J Thorac Cardiovasc Surg 2007;134:1538-1539
© 2007 The American Association for Thoracic Surgery

Surgery for Acquired Cardiovascular Disease

Discussion

Dr Christopher M. Feindel (Toronto, Ontario, Canada). Thank you very much, Dr Aicher. I have a couple of questions. Did you discover any relationship with what you saw at surgery, that is, any residual AR right at the time of surgery? Was there a relationship between those patients and the late failures and could you draw any conclusions from those observations?

Dr Aicher. We saw a few patients who had AR early postoperatively, and those patients showed increasing AR over time and were reoperated on later.

Dr Feindel. I noticed that approximately two thirds of your patients had aortic root surgery. I am assuming that was the primary reason for the surgery. Did those patients have a different failure mode down the road as compared with the patients in whom there was primarily a leaflet problem?

Dr Aicher. We had 196 patients with a root procedure in that study. Comparing the . . . [Full Text of this Article]

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