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Ann Thorac Surg 1996;62:455
© 1996 The Society of Thoracic Surgeons

Discussion

Discussion

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

See also page 450.

DR PAUL L. STELZER (New York, NY): It is an honor to discuss this fine report from Oklahoma, where I had the privilege of scrubbing with Dr Elkins on the very first pulmonary autograft done in this country almost 10 years ago.

Long ago Donald Ross observed that the only two failure modes of the autograft valve were endocarditis and regurgitation, the latter being technical in origin. Doctor Elkins has confirmed these observations and further defined the causes of regurgitation in terms of patient-specific factors. These factors must be addressed at the time of the initial operation. The size of the recipient site relative to the autograft is very important. Major discrepancy or distensibility of either the annulus . . . [Full Text of this Article]


Related Article

Pulmonary Autograft Reoperation: Incidence and Management
Ronald C. Elkins, Mary M. Lane, and Carolyn McCue
Ann. Thorac. Surg. 1996 62: 450-455. [Abstract] [Full Text]





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