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Ann Thorac Surg 2003;76:339
© 2003 The Society of Thoracic Surgeons

Correspondence

Reply

Toshihiro Fukui, MDa, Shigefumi Suehiro, MDa

a Department of Cardiovascular Surgery, Osaka City University Medical School1-4-3, Asahi-machi, Abeno-ku, Osaka 545-8585, Japan

e-mail: tm-fukui{at}gem.hi-ho.ne.jp

To the Editor:

We are grateful to Dr Salerno for his interest in our article [1] and welcome his comments. The damage to the aortic wall with the associated serious sequelae he described could occur during placement of a pericardial suture. In contrast to his patient, our patient experienced slow hemodynamic deterioration because the injury involved the pulmonary vein. Transesophageal echocardiography performed postoperatively to assess cardiac function demonstrated the hematoma behind the pericardium.

We agree completely that surgeons should pay attention to the structures that lie posterior to the pericardial cavity when applying the posterior pericardial suture.

References

  1. Fukui T., Suehiro S., Shibata T., Hattori K., Hirai H. Retropericardial hematoma complicating off-pump coronary artery bypass surgery. Ann Thorac Surg 2002;73:1629-1631.[Abstract/Free Full Text]



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[Full Text] [PDF]

This Article
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Right arrow Articles by Fukui, T.
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Right arrow Transplantation - heart

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