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Ann Thorac Surg 1999;67:600
© 1999 The Society of Thoracic Surgeons

Correspondence

Combined therapies for composite graft infection after Bentall’s procedure

Antonis A. Pitsis, FETCSa, Gianni D. Angelini, FRCSa

a Bristol Heart Institute, Bristol Royal Infirmary, Bristol, BS2 8HW, United Kingdom

We write in response to the article by Takano and colleagues [1] concerning combined therapies for composite graft infection after Bentall’s operation.

We congratulate the authors on the effective and aggressive strategy they followed to treat their patient. They failed, however, to mention in their report the proved strategy of avoiding any foreign material in the redo operation by means of homograft root replacement [2, 3]. This technique has produced excellent results in our experience of 2 cases of infective composite grafts, and it would avoid prolonged irrigation and a second procedure for omental transposition around the newly inserted graft. I do appreciate that in many countries homografts are not available, and therefore another approach, such as the one presented by the authors, is necessary.

References

  1. Takano T., Fukaya Y., Nakano H., Kuroda H., Amano J. Combined therapies for composite graft infection after Bentall’s procedure. Ann Thorac Surg 1998;66:564-566.[Abstract/Free Full Text]
  2. Carrel T., Pasic M., Jenni R., Tkebuchava R., Turina M.I. Reoperations after operation on the thoracic aorta: etiology, surgical techniques, and prevention. Ann Thorac Surg 1993;56:259-269.[Abstract]
  3. Vogt P.R., von Segesser L.K., Goffin Y., Pasic M., Turina M.I. Cryopreserved arterial homografts for in situ reconstruction of mycotic aneurysms and prosthetic graft infection. Eur J Cardiothorac Surg 1995;9:502-506.[Abstract]




This Article
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