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Ann Thorac Surg 2002;73:347
© 2002 The Society of Thoracic Surgeons
a Department of Cardiovascular Thoracic Surgery, K. E. M. Hospital, Bombay 400 012, India
To the Editor
The article by Chu and colleagues [1] is extremely important in resolving the prevailing confusion with respect to the mechanism of improvement of myocardial vascular status following transmyocardial puncture. The authors have concluded, after a very elegantly conducted study, that mechanical puncture may induce an angiogenic response comparable with that induced by laser. The cost benefit is certainly of great significance in countries with limited resources.
This is one of the few articles on the subject in which the contribution of Dr P. K. Sen from India has been given due credit. His attempt to treat the ischemic myocardium by direct needle puncture through the ventricular wall (snake heart) [2] is not known to many young cardiovascular surgeons or, at best, has been acknowledged rather grudgingly. I request, through the official journal of the Society, that the readers and members of the Executive Committee of The Society of Thoracic Surgeons consider referring to the operation of Transmyocardial Revascularization (TMR) with all its variants, with or without laser, as Sens operation. This will indeed be a tribute, long delayed but well deserved by Dr P. K. Sen.
References
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