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Department of Cardiac Surgery, Tor Vergata University, Viale Oxford 84, Rome 00133, Italy
(Email: carlo.bassano@fastwebnet.it).
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To the Editor:
We read with utmost interest the article by Reece and colleagues [1], in which an aggressive strategy toward concomitant dilatation of the proximal aorta in patients with aortic valve disease was strongly recommended, even in moderately dilated aortas (ie, with a diameter exceeding 5.0 cm).
To further support this thesis, we would like to report our personal experience with a cohort of 38 patients with slightly dilated proximal aortas (from 40 to 55 mm) and aortic valve disease that for several reasons were not submitted to any surgical procedure beside aortic valve replacement, and were subsequently followed-up over time (follow-up
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Ann. Thorac. Surg. 2008 85: 1503.
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