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Ann Thorac Surg 2001;71:759
© 2001 The Society of Thoracic Surgeons

Correspondence

Types of esophageal repair after primary aortoesophageal fistula resection: reply

Michael J. Reardon, MDa

a Department of Surgery, 6565 Fannin #A853, Houston, TX 77030, USA

e-mail: reardonm{at}bcm.tmc.edu

To the Editor

We would like to thank Dr Kotsis for sharing his insights with us concerning our recent paper [1]. We would agree that a pedicled diaphragmatic flap can be used for buttressing the esophagus and may prevent the need for going into the abdomen during the surgery. In these critically ill patients our goal is to keep the operation as simple and swift as possible consistent with the goals of stopping the bleeding from the fistula and secure closure of the esophageal defect. Whenever possible we avoid a loss of the esophagus through resection, as all forms of esophageal substitution are inferior to a native esophagus.

Again, we thank the author for his comments and insights.

References

  1. Reardon M.J., Brewer R.J., LeMaire S.A., Baldwin J.C., Safi H.J. Surgical management of primary aortoesophageal fistula secondary to thoracic aneurysm. Ann Thorac Surg 2000;69:967-970.[Abstract/Free Full Text]

Related Article

Types of esophageal repair after primary aortoesophageal fistula resection
Lajos Kotsis
Ann. Thorac. Surg. 2001 71: 759. [Extract] [Full Text] [PDF]




This Article
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