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Ann Thorac Surg 2007;83:2058-2059
© 2007 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

John R. Pepper, FRCS

Department of Surgery, Royal Brompton Hospital, Sydney St, London, SW3 6NP United Kingdom

(Email: j.pepper@rbht.nhs.uk).

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

Valve replacement for aortic stenosis must rank as one of the most satisfying procedures of the adult surgical repertoire. Patients notice relief of symptoms and improved exercise tolerance within weeks, and operative mortality is in the low single figures. However we can not be complacent while there are subgroups of patients who experience a much higher mortality and survivors who have little improvement in quality of life. Such groups are elderly females whose left ventricular (LV) hypertrophy is often severe, or other elderly . . . [Full Text of this Article]


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