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Correspondence

Commissural Fenestrations Are Not Contraindication for Aortic Valve and Root Repair

Department of Cardiovascular Surgery, Cardiovascular Clinic Bad Neustadt, Salzburger Leite 1, Bad Neustadt, 97616 Germany

(Email: p.urbanski@herzchirurgie.de).

The first 20% of the full text of this article appears below.

To the Editor:

I read with great interest the report by Reade and colleagues [1] regarding commissural aortic cusp fenestrations. I would like to comment on the authors' conclusion that a valve-sparing repair is contraindicated in cases of commissural fenestrations.

During the process of dilatation, the sinuses change their dimensions in the transverse as well as longitudinal axis, leading to a distalward movement of the commissures. Therefore, most patients with aortic root dilatation, especially . . . [Full Text of this Article]