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Ann Thorac Surg 1991;52:1346-1350
© 1991 The Society of Thoracic Surgeons

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Articles

Replacement of the aortic valve with a pulmonary autograft: The "Switch" operation

Harley Street Clinic, London, England

Accepted for publication August 9, 1991.

^_* Address reprint requests to Mr Ross, 25 Upper Wimpole St, London W1M 7TA, England.

The transfer of the patient's own pulmonary valve to the aortic position developed from our earlier work with aortic homografts. The valve shows no progressive tissue failure and offers the prospect of a permanent valve replacement for young people. Like homografts, the valves can be inserted in the subcoronary position or as a root replacement. In infants and growing children root replacement should be used to benefit from the valve's growth potential.

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