The Journal of thoracic and cardiovascular surgery
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Aortic valve repair and the Ross procedure are widely used in children; however, it is unclear which provides the best outcomes. ⋯ Primary aortic valve repair was associated with better survival than the Ross procedure, whereas overall freedom from reoperation was similar. When an acceptable intraoperative result was achieved, outcomes of repair were favorable. However, when the intraoperative result of repair was suboptimal, the Ross procedure showed better results.
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J. Thorac. Cardiovasc. Surg. · Nov 2023
Characteristics of Donor Lungs Declined On-Site and Impact of Lung Allocation Policy Change.
National and institutional data suggest an increase in organ discard rate (donor lungs procured but not implanted) after a new lung allocation policy was introduced in 2017. However, this measure does not include on-site decline rate (donor lungs declined intraoperatively). The objective of this study is to examine the impact of the allocation policy change on on-site decline. ⋯ We found that nearly 8% of accepted lungs are declined on site. Several donor factors were associated with on-site decline, although lung allocation policy change did not have a consistent impact on on-site decline.