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Ann Thorac Surg 2001;71:41-42
© 2001 The Society of Thoracic Surgeons

Invited commentary: original article: cardiovascular

Invited commentary

Anthony J. DelRossi, MDa

a Department of Surgery, Division of Cardiothoracic Surgery, Robert Wood Johnson Medical School, 3 Cooper Plaza, Camden, NJ 08031, USA

e-mail: delrossi-tony@cooperhealth.edu

Cannulation of a friable left atrial appendage in left heart bypass can be difficult. The authors have quantified some of the complications with this route and point out their success using the pulmonary veins for cannulation. However, the debate surrounding spinal cord protection continues. The authors favor left heart bypass; however, they have not made a compelling argument for this technique. In their series the "clamp and sew" group had a 24% paraplegia rate. This is quite high. Others have reported a 5% incidence with either clamp and sew . . . [Full Text of this Article]


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