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Ann Thorac Surg 2001;72:1495-1496
© 2001 The Society of Thoracic Surgeons

Invited commentary

Christopher Feindel, MDa

a Division of Cardiovascular Surgery, Toronto General Hospital, 200 Elizabeth St, 14EN-222, Toronto, Ontario M5G 2C4, Canada

e-mail: chris.feindel@uhn.on.ca

Doctor Prat and his associates present a small series of 11 patients with complex aortic root endocarditis with paravalvular involvement who were successfully treated with a pulmonary autograft (Ross Procedure). All patients were very ill at the time of surgery, either due to sepsis or to hemodynamic compromise. In fact, one patient was in cardiogenic shock. There were no deaths and surprisingly little perioperative morbidity. Recurrent endocarditis had not occurred in any of these patients during the median follow up of 40 months.

This is clearly an outstanding series. The authors are to be congratulated for their ability to manage this challenging and complex group of patients . . . [Full Text of this Article]


Related Article

Ross operation for active culture-positive aortic valve endocarditis with extensive paravalvular involvement
Alain Prat, Jose I. Saez de Ibarra, Andre Vincentelli, Christophe Decoene, Olivier H. Fabre, Bruno Jegou, and Christine Savoye
Ann. Thorac. Surg. 2001 72: 1492-1495. [Abstract] [Full Text] [PDF]






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