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Ann Thorac Surg 2007;84:78-79
© 2007 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Xu Yu Jin, MD, PhD, Chandi Ratnatunga, MS, FRCS

Department of Cardiac Surgery, John Radcliffe Hospital, Oxford Heart Centre, Headington, Oxford, OX3 9DU United Kingdom

(Email: xy.jin@orh.nhs.uk).

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

A decade of extensive clinical investigations has followed the early reports of more favorable left ventricular (LV) mass regression and functional remodeling with stentless rather than stented aortic valve replacement (AVR). In contrast to the majority of previous reports, two large randomized clinical trials have recently reported insignificant differences in LV mass regression or valve hemodynamics, or both, between stentless and stented AVR. Therefore, the meta-analysis reported by Kunadian and colleagues [1] has been a timely important contribution, whereas we try to reconcile conventional wisdom with these new findings. The authors analyzed 10 randomized studies with more than 900 patients . . . [Full Text of this Article]






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Copyright © 2007 by The Society of Thoracic Surgeons.