Abstract: . . .  they must be considered as a second choice for LVOT reconstruction; I mean when you really want to put an homograft in a patient and you do not have an aortic homograft available, however, this is basically a surgical decision and we are an homograft bank. We just want to give the message that if you consider putting a pulmonary homograft in the left position, you must ask for a pulmonary homograft that comes from transplantation cases or that have been submitted . . .
. . .  pulmonary homograft that comes from transplantation cases or that have been submitted to pulmonary hypertension . Dr Antunes ( Coimbra , Portugal ): But shouldnt you go a little further and tell the surgeons to whom you sell or send pulmonary homografts, that they should not be used in the aortic position, if they come from cadavers? Dr Gaudino : Yes, of course. Dr Antunes : Be more specific and say: stop doing it. Dr Gaudino : Indeed this is, shall we . . .
. . .  homograft that comes from transplantation cases or that have been submitted to pulmonary hypertension . Dr Antunes ( Coimbra , Portugal ): But shouldnt you go a little further and tell the surgeons to whom you sell or send pulmonary homografts, that they should not be used in the aortic position, if they come from cadavers? Dr Gaudino : Yes, of course. Dr Antunes : Be more specific and say: stop doing it. Dr Gaudino : Indeed this is, shall we say, a surgical . . .
. . .  Monro ( Southampton , England ): I enjoyed that and I thought your final conclusions were very nice and succinct. I think that putting an ordinary pulmonary homograft valve in the LV outflow tract is unwise. I think those that have been subjected to pulmonary hypertension are different. If one looks back, as is so often the case, in this valve saga one can learn from previous experience. Twenty-five years ago Barratt-Boyes was putting pulmonary homografts in the  . . .
. . .  pulmonary homograft that comes from transplantation cases or that have been submitted to pulmonary hypertension . Dr Antunes ( Coimbra , Portugal ): But shouldnt you go a little further and tell the surgeons to whom you sell or send pulmonary homografts, that they should not be used in the aortic position, if they come from cadavers? Dr Gaudino : Yes, of course. Dr Antunes : Be more specific and say: stop doing it. Dr Gaudino : Indeed this is, shall we . . .
. . .  bank. We just want to give the message that if you consider putting a pulmonary homograft in the left position, you must ask for a pulmonary homograft that comes from transplantation cases or that have been submitted to pulmonary hypertension . Dr Antunes ( Coimbra , Portugal ): But shouldnt you go a little further and tell the surgeons to whom you sell or send pulmonary homografts, that they should not be used in the aortic position, if they come from cadavers? . . .
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