Reply: Wrapped pulmonary autograft or homograft: Still the way to go!

[摘要] We would like to thank Drs Gerosa and Pradegan from Padova, Italy, for their thoughtful letter to the editor in response to our recent manuscript in the Journal1 describing our experience with the Ross procedure performed using a pulmonary autograft inclusion technique in patients with bicuspid aortic valves. Between 1992 and 2019, 129 patients with bicuspid aortic valves underwent the Ross procedure by a single surgeon, with or without the pulmonary autograft inclusion technique. In our series, the pulmonary autograft was “wrapped” by encasement in a vascular graft. Over a median follow-up of 10.3 years, we found that mortality did not differ between groups; however, we did find that the need for autograft reintervention was lower in those with “wrapped” pulmonary autografts (P < .035).

[学科分类] 心脏病和心血管学