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John G. Byrne
Sary F. Aranki
Lawrence H. Cohn
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Ann Thorac Surg 1998;66:2159
© 1998 The Society of Thoracic Surgeons

Correspondence

Reply

John G. Byrne, MDa, Sary F. Aranki, MDa, Lawrence H. Cohn, MDa

a Division of Cardiac Surgery, Brigham and Women’s Hospital, 75 Francis Street, Boston, MA 02115, USA

To the Editor

We thank Drs Silberman, Fink, and Bitran for summarizing their experience with aortic valve replacement using deep hypothermic circulatory arrest. Their experience is similar to ours [1], and we congratulate them on excellent results in this difficult group of patients. We would suggest, however, that preoperative computed tomography of the chest is not necessary, provided epiaortic echocardiography is available. The epiaortic echo probe can usually identify areas for safe cannulation, clamping, and aortotomy. It can also exclude areas that are not safe for manipulation, as we documented in our report.

References

  1. Byrne J.G., Aranki S.F., Cohn L.H. Aortic valve operations under deep hypothermic circulatory arrest for the porcelain aorta: "no-touch" technique. Ann Thorac Surg 1998;65:1313-1315.[Abstract/Free Full Text]

Related Article

Aortic valve replacement using circulatory arrest
Shuli Silberman, Daniel Fink, and Dani Bitran
Ann. Thorac. Surg. 1998 66: 2158-2159. [Extract] [Full Text] [PDF]




This Article
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Sary F. Aranki
Lawrence H. Cohn
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