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Department of Cardiothoracic Surgery, Erasmus MC Rotterdam, Thoraxcentre, Bd 555, Dr Molewaterplein 40, Rotterdam, NL-3015 GD the Netherlands
(Email: a.j.j.c.bogers@erasmusmc.nl).
| The first 20% of the full text of this article appears below. |
Progressive accumulation of knowledge is best facilitated by sound data, robust analysis, and responsible conclusions. In the past, surgical developments were often based on the pioneering of committed individuals; nowadays, additional new steps are frequently based on practical logics. Often, developments are supported by authority rather than by evidence-based methodology.
The original introduction of the Ross procedure was clearly an example of successful pioneering. Later on, progressive dilatation of the autograft in an important number of patients was observed at long-term follow-up. In this regard, surgeons and centers suggested supportive surgical
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