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Another report on unfavourable long-term outcome following implantation of the Shelhigh No-React™ valved tube graft.

was never found and the underlying mechanism of abscess formation was suspected to be a xenogenic-complement mediated graft rejection [9]. To share our experience, we exchanged intensively with the Dutch group and presented our common results at the 2015 EACTS meeting [10]. The series included 291 consecutive patients with a mean age of 69 years. During a mean follow-up of 70.3 ± 53.1 months, 29 patients (11.1%) died from unknown reasons and the overall rate of reoperation of 8.6% (25 patients) was worrying. We found similar causes leading to reoperation: in-fection of the conduit ( n = 9), aorto-ventricular disconnection