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Ann Thorac Surg 2001;71:59-60
© 2001 The Society of Thoracic Surgeons


Invited commentary: original article: cardiovascular

Invited commentary

David R. Clarke, MDa

a Cardiothoracic Surgery, The Children’s Hospital, 1056 E 19th Ave, Box B-200, Denver, CO 80218, USA

e-mail: clarke.david@tchden.org

This article by Forbess and colleagues provides an accurate description of the fate of patients who receive homograft valve conduits to reconstruct the right ventricular outflow tract. However, the authors’ evaluation of the presented data limits the reader’s ability to understand the mechanisms responsible for failure. Defining homograft failure as reoperation for homograft replacement or patient death introduces an endpoint not always related to problems with the graft. This is particularly true in the case of complex repairs in infants. Also, the fact that no homograft was replaced for isolated regurgitation might indicate that follow up was not long enough for patients . . . [Full Text of this Article]


Related Article

Cryopreserved homografts in the pulmonary position: determinants of durability
Joseph M. Forbess, Ashish S. Shah, James D. St. Louis, James J. Jaggers, and Ross M. Ungerleider
Ann. Thorac. Surg. 2001 71: 54-59. [Abstract] [Full Text] [PDF]






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Copyright © 2001 by The Society of Thoracic Surgeons.