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Ann Thorac Surg 1995;60:89
© 1995 The Society of Thoracic Surgeons

Discussion

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

	Introduction

 
See also page 84.

DR CHARLES B. HUDDLESTON (St. Louis, MO): I thank The Society for the opportunity to discuss the paper and compliment Dr Turley and his colleagues on their excellent series presented here.

I think that most would agree now that a two-coronary type of reconstruction for this disease is the appropriate procedure, and most do it by coronary transfer rather than a tunnel technique. The uniqueness of this particular series is in the extensive use of pulmonary artery tissue to reconstruct by direct anastomosis the coronary artery that originates at a distance from the aorta. The experience with the arterial switch procedure has indicated that we can mobilize coronaries when they are at a distance, but, again, the concept of using the pulmonary artery tissue to construct tubes, as performed by Dr Turley and associates, is really the uniqueness of this series, and for that reason I think the focus should be on the . . . [Full Text of this Article]