Abstract
In this issue of The Annals of Thoracic Surgery, Rajab and colleagues1 performed a meta-analysis of 18 studies that describe outcomes after the Ross or Ross-Konno operation among neonates. The authors found a pooled “early” mortality rate of 24%, with a surprising higher mortality in more recently published studies. Late mortality was reported as 43%, which we infer (as it is not explicitly defined) is defined as any death beyond 30 days of the procedure. Not unexpectedly, there was wide variation in the reported early mortality, which is likely due to the experience of the center and the existence of concomitant mitral valve pathology or hypoplastic left-sided structures.
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