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Volume 330:1615-1616 June 2, 1994 Number 22
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Replacement of the Aortic Root with a Pulmonary Autograft

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by Kouchoukos, N. T.
To the Editor: Kouchoukos and colleagues describe their experience with a pulmonary-root autograft to replace the aortic root in young patients with aortic-valve disease (Jan. 6 issue)1. The rationale for this operation, technical considerations and pitfalls during surgery, and the concerns raised by Kouchoukos et al. about the possibility of dilatation of the autograft have been discussed at considerable length in three reports by Ross and colleagues2,3,4. On the basis of Ross's extensive experience, he and his colleagues have reported on the long-term results (mean follow-up, 10 years; maximum, 24 years) in 339 patients who underwent replacement of . . . [Full Text of this Article]

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