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Ann Thorac Surg 2000;70:1470-1471
© 2000 The Society of Thoracic Surgeons

Discussion

Discussion

Discussion

DR W. STEVES RING (Dallas, TX): I would like to thank the Society for the opportunity to discuss this paper and I would like to thank Dr Azakie and his colleagues from Toronto for provision of the manuscript ahead of time for my review.

Doctor Azakie and his colleagues have presented an outstanding series of 34 patients over a 20-year period with isolated ruptured sinus of Valsalva aneurysms due to congenital defects and congenital sinus of Valsalva aneurysms with 0% mortality. For a large center such as Toronto to have only between 1 and 2 patients per year from both their adult and pediatric hospitals speaks to the rarity of this defect and how infrequent the average cardiac surgeon is likely to encounter this defect during his career.

They are to be commended for limiting their analysis to the rupture of a single sinus of Valsalva aneurysm . . . [Full Text of this Article]






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