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Original Articles: Cardiovascular

Invited Commentary

Department of Cardiac Surgery, Children’s Hospital Boston, 300 Longwood Ave, Boston, MA 02115

(Email: emile.bacha@cardio.chboston.org).

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

The present article by Kadner and colleagues [1] is a retrospective review of an 11-year experience with the Ross procedure in 52 consecutive children less than 15 years of age. They describe a fairly high overall mortality of 15.4%, centered mostly on 5 infants (9.6%) who were less then 2 months old and who had died in the hospital. All 5 infants had undergone a Ross procedure for acute aortic insufficiency (AI), occurring either after balloon dilation or surgical valvotomy. Follow-up was complete for only 38 patients (73%), which is a very low follow-up rate. In the group of patients that was followed-up, freedom from any reoperation was . . . [Full Text of this Article]