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Ann Thorac Surg 1997;63:1242
© 1997 The Society of Thoracic Surgeons

Discussion

Discussion

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

See also page 1235.

DR ROSS M. UNGERLEIDER (Durham, NC): I think this was an excellent paper. It is important to have 28-year overviews of topics like this to provide us with some standards of what to expect for these unusual lesions.

I think you have demonstrated unequivocally good results with the standard surgical technique for closure of coronary arteriovenous fistulas even though they can be variable in the ways they present and in their locations.

I have two questions for you. First, can you comment on the role of intraoperative echocardiography in the treatment of these conditions by surgeons? You had 1 patient in your series in whom an intraoperative echocardiogram was performed; since others in the literature, as you know, have suggested that this is a very useful role for the use of intraoperative echocardiography to guide and evaluate the closure of these fistulae, could you comment on what you think the role should be of that modality?

Second, because you are always so expressive in your philosophy about things, . . . [Full Text of this Article]


Related Article

Coronary Artery Fistulas in Infants and Children: A Surgical Review and Discussion of Coil Embolization
Constantine Mavroudis, Carl L. Backer, Albert P. Rocchini, Alexander J. Muster, and Melanie Gevitz
Ann. Thorac. Surg. 1997 63: 1235-1242. [Abstract] [Full Text]





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Copyright © 1997 by The Society of Thoracic Surgeons.