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Ann Thorac Surg 2001;72:2181-2182
© 2001 The Society of Thoracic Surgeons

Correspondence

Left hemispheric stroke in CABG: Reply

Gerald S. Weinstein, MDa

a 1690 S Telshor Blvd, Las Cruces, NM 88011, USA

e-mail: gswmd{at}aol.com

To the Editor

I thank Dr Gerdes and Dr Sievers for their gracious and thoughtful letter in support of my hypothesis that end-hole aortic cannulas direct flow at the left carotid orifice, thus explaining the preponderance of left-sided hemispheric strokes in coronary artery bypass grafting [1]. The references they cite offer additional confirmation of this hypothesis.

I am in complete agreement with them that the end hole must be closed so that all flow is directed through the side holes. I was unaware of the existence of cannulas with both end holes and side holes, and I thank the authors for clarifying this point. I am hopeful that my article will be a stimulus for further research in this area.

References

  1. Weinstein G.S. Left hemispheric strokes in coronary surgery: implications for end-hole aortic cannulas. Ann Thorac Surg 2001;71:128-132.[Abstract/Free Full Text]

Related Article

Left hemispheric stroke in CABG
Anja Gerdes and Hans-Hinrich Sievers
Ann. Thorac. Surg. 2001 72: 2181. [Extract] [Full Text] [PDF]




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