Discussion

Dr J. Gaynor (Philadelphia, Pa). As we have heard this morning, most of the children who undergo an unroofing for anomalous aortic origin of the coronary are asymptomatic, and we are essentially performing a prophylactic operation. So in that case, both the short- and long-term safety have to be of utmost importance, and unfortunately as we have heard and as you suggested here, late competence of the aortic valve cannot always be guaranteed with the standard operation.
Source: The Journal of Thoracic and Cardiovascular Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research