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Cardiac Surgery Division, Massachusetts General Hospital, Cardiac Surgery—Cox 648, Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114
(Email: cakins@partners.org).
| The first 20% of the full text of this article appears below. |
Of the four left-sided valvular lesions treated with valve replacement, aortic valve replacement for severe aortic stenosis yields the best early and late results. After removal of the obstruction to the left ventricular outflow, the heart is almost immediately better, in part because the ventricle has been preconditioned to generate higher pressures. Thus, there are few contraindications to valve replacement for severe aortic stenosis.
Hannan and colleagues [
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