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Ann Thorac Surg 2001;71:1180
© 2001 The Society of Thoracic Surgeons

Invited commentary

^a The Journal of Heart Valve Disease, Crispin House, 12A South Approach, Moor Park, Northwood HA6 2ET, United Kingdom

e-mail: bodnarendre@cs.com

This study confirms the findings of Starr and Grunkemeier (reference 17 in the article) that the probability of suffering a repeat embolism after the first event is higher than that of having a first embolic event. The generally accepted explanation of this phenomenon is that patient-related factors would cause or promote thromboembolism in a certain subgroup of the patient population. While in the majority of cases this assumption is probably true, a device-related etiology cannot be ruled out completely. Due to . . . [Full Text of this Article]

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