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Ann Thorac Surg 2001;72:321-322
© 2001 The Society of Thoracic Surgeons
e-mail: erinoangelo.rendina{at}tin.it
To the Editor
I thank Dr Tunçozgur and associates for their interest in our work. They bring up an interesting case and an important contribution in the field of pulmonary artery reconstruction. Thrombosis at the suture line is a complication that may occur, and its incidence can be minimized by appropriate anticoagulation and accurate manipulation of the arterial stumps. It happened one time in our experience as a consequence of a well-identified technical error [1]. I, however, disagree on the cause/effect relationship between infiltration of the intima of the pulmonary artery, and metastatic dissemination. If that was the case, many pneumonectomy and even lobectomy specimens where the pulmonary artery is infiltrated should present the same findings. Parenchymal seeding is, on the contrary, a very rare occurrence in this setting.
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