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a Cardiovascular Surgery Institute, University of Padua Medical School, Via Giustiniani, 2, Padova, Padua, 35100 Italy
b Cardiovascular Pathology Institute, University of Padua Medical School, Via Giustiniani, 2, Padova, Padua, 35100 Italy
(Email: tbottio@gmail.com).
| The first 20% of the full text of this article appears below. |
To the Editor:
We have a concern regarding the report by Bové and colleagues [1] on midterm outcomes of patients undergoing arterial switch operation (ASO). In their study, 93 patients were subdivided into two groups according to presence or absence of ventricular septal defect (VSD) and were treated by ASO and echocardiography. Only 1 patient suffered from symptomatic aortic regurgitation and needed a late surgical repair. Freedom from aortic regurgitation was significantly lower for patients with a concomitant VSD, but the Z-score in VSD patients was higher than in those without VSD. The authors observed that after ASO the neoaortic root is larger in comparison with a normal population and that this observation is more pronounced when both
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