Abstract
We read with great interest the effect of valve suture technique on the incidence of paraprosthetic regurgitation reported by Nair and colleagues [1]. In that article, a continuous suture technique (CST) for valve replacement increased the risk of significant paraprosthetic regurgitation after aortic and mitral valve replacements and the risk of redo valve replacement after aortic valve replacement. Given that the authors did not describe the suture technique in detail, we suppose that the outcomes were caused by inaccurate stitches rather than the suture technique.
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