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Ann Thorac Surg 2003;75:802
© 2003 The Society of Thoracic Surgeons

Invited commentary

Division of Cardiovascular Surgery, The Toronto General Hospital, 200 Elizabeth Street, Room EN 13-219, Toronto, ON M5G 2C4, Canada

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Böhm and colleagues are to be congratulated for having done 250 consecutive Ross procedures in patients aged 2–67 years without a single operative death and only 3 "transiently elevated myocardial enzymes." These exceptionally good operative results added to the fact that only one patient in their older group required pulmonary autograft replacement and none developed pulmonary homograft stenosis, which prompted the authors to conclude that "older patients fare better with the Ross procedure" than do younger ones. The authors may be correct but their conclusion is a bit premature because most patients have had only two years of follow-up and only 9 patients had . . . [Full Text of this Article]

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				C. A. Botha, J. O. Bohm, and W. Hemmer Coronary artery complications and the Ross operation Ann. Thorac. Surg., July 1, 2004; 78(1): 384 - 384. [Full Text] [PDF]