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Ann Thorac Surg 1997;64:29
© 1997 The Society of Thoracic Surgeons

Discussion

Discussion

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

See also page 23.

DR JOHN H. CALHOON (San Antonio, TX): That was a beautiful study, Dr Cope. You and Dr Kron have tried to answer a question we are all interested in. I would like to know why you would ligate the VV as you begin cooling as opposed to waiting until the end of the procedure?

I also would like to know whether you think it is really fair to compare mortality from the era before blood cardioplegia, and possibly from a different group of surgeons, to mortality at this point?

Nonetheless, this was a beautiful study that was presented very succinctly and nicely. Thank you.

DR CONSTANTINE MAVROUDIS (Chicago, IL): This is a nicely presented paper. I have a few questions. Were you able to identify any risk factors for the early group of patients, such as the type of cardioplegia or the conduct of cardiopulmonary bypass? Also, because some patients underwent cardiac catheterization, was there an adverse effect of preoperative cardiac catheterization on outcome? Do you have any experience using inhaled nitric oxide for these patients?

Leaving the VV open probably is a reasonable idea; however, I am not sure . . . [Full Text of this Article]


Related Article

Is Vertical Vein Ligation Necessary in Repair of Total Anomalous Pulmonary Venous Connection?
Jeffrey T. Cope, David Banks, Nancy L. McDaniel, Kimberly S. Shockey, Stanton P. Nolan, and Irving L. Kron
Ann. Thorac. Surg. 1997 64: 23-28. [Abstract] [Full Text]





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