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Ann Thorac Surg 2002;73:343-344
© 2002 The Society of Thoracic Surgeons
a Department of Cardiovascular Diseases, King Faisal Specialist Hospital and Research Centre, MBC 16, P.O. Box 3354, Riyadh 11211, Saudi Arabia
To the Editor
With great interest, I read the article by Ehud Raanani and associates [1]. In this article, the authors touch on two major issues. The first is the specific issue of the fate of the pulmonary homograft in the pulmonary position after the Ross procedure. The second is trying to identify predictors of late pulmonary homograft stenosis, which is a more general issue.
I agree with the authors that pulmonary homograft stenosis does exist following the Ross procedure. However, I do not feel that it represents a significant clinical problem. In our own experience of 292 Ross procedures, only 6 patients required surgical intervention for pulmonary stenosis (2%). This goes
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