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Ann Thorac Surg 2006;81:789-790
© 2006 The Society of Thoracic Surgeons

Correspondence

Does Arch Clamping Increase Stroke Rates?

Kiyofumi Morishita, MD, Nobuyoshi Kawaharada, MD, Johji Fukada, MD, Tomio Abe, MD

Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido 060-8556, 060-8543 Japan

(Email: kmori@sapmed.ac.jp).

The first 20% of the full text of this article appears below.

To the Editor:

We read with great interest the article on cross clamping of the arch by Girardi and coworkers [1]. The authors achieved a low stroke rate despite arch clamping. In general, cross clamping proximal to the left subclavian artery is believed to be associated with a high incidence of stroke in patients with degenerative aneurysms. We presented a series of 81 patients who underwent proximal cross-clamping between the left common carotid artery and the left subclavian artery for descending thoracic aortic aneurysm repair [2]. In our series, 6 of 25 patients (25%) with degenerative aneurysms suffered from . . . [Full Text of this Article]


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Leonard N. Girardi, Karl H. Krieger, Charles A. Mack, Leonard Y. Lee, Anthony J. Tortolani, and Ottis Wayne Isom
Ann. Thorac. Surg. 2006 81: 790. [Extract] [Full Text] [PDF]



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L. N. Girardi, K. H. Krieger, C. A. Mack, L. Y. Lee, A. J. Tortolani, and O. W. Isom
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Ann. Thorac. Surg., February 1, 2006; 81(2): 790 - 790.
[Full Text] [PDF]


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