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Ann Thorac Surg 2007;84:715-716
© 2007 The Society of Thoracic Surgeons


Correspondence

Reply

Carl L. Backer, MD

A. C. Buehler Professor of Cardiovascular-Thoracic Surgery, Division of Cardiovascular-Thoracic Surgery, Children’s Memorial Hospital, 2300 Children’s Plaza, m/c Box 22, Chicago, IL 60614

(Email: cbacker@childrensmemorial.org).

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

To the Editor:

We would like to thank Dr Setty and colleagues [1] for their letter regarding the use of partial cardiopulmonary bypass in infants and children with coarctation and specifically the subgroup with an anomalous origin of the right subclavian artery. We were quite interested to hear about their anecdotal experience from other colleagues with 4 infants suffering postoperative paraplegia after coarctation repair, all with anomalous origin of the right subclavian artery. This is clearly not a complication that surgeons like to discuss, but is the type of information that is useful for possibly predicting and preventing this potential complication. As noted in our article we are also "aware" of an infant who had postoperative paraplegia related to anomalous origin of the right subclavian artery from the descending thoracic aorta [2].

We were pleased to hear that the authors agreed with our conclusion that anomalous right subclavian artery should be considered a potential risk factor for spinal cord injury during coarctation repair. The additional point that Setty and colleagues [1] make is that this risk is not only for older children, but may . . . [Full Text of this Article]


Related Article

Partial Cardiopulmonary Bypass in Infants With Coarctation and Anomalous Right Subclavian Arteries
Shaun P. Setty, Christian P. Brizard, and Yves d’Udekem
Ann. Thorac. Surg. 2007 84: 715. [Extract] [Full Text] [PDF]






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