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Ann Thorac Surg 2008;85:690. doi:10.1016/j.athoracsur.2007.07.090
© 2008 The Society of Thoracic Surgeons
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Correspondence

Reply

Edward B. Savage, MD

Department of Heart and Vascular Services, St. John’s Mercy Medical Center, 625 S New Ballas Rd, Suite R-7040, St. Louis, MO 63141

(Email: ebsavage99-3{at}yahoo.com).

To the Editor:

We appreciate the comments from Dr Martinez-Sanz and colleagues [1], which are consistent with our statements [2] in the conclusion. However, until there can be more accurate risk stratification associated with specific comorbidities and the establishment of a risk scoring system, the arbitrary application of two or more criteria for the use, or avoidance of use, of the internal thoracic artery is somewhat rigid.


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  1. Martínez-Sanz R, De la Llana R, Nassar I, Garrido P. Use of both internal thoracic arteries in diabetic patients (letter) Ann Thorac Surg 2008;85:690.[Free Full Text]
  2. Savage EB, Grab JD, O’Brien SM. Use of both internal thoracic arteries in diabetics increases deep sternal wound infection Ann Thorac Surg 2007;83:1002-1007.[Abstract/Free Full Text]

Related Article

Use of Both Internal Thoracic Arteries in Diabetic Patients
Rafael Martínez-Sanz, Ramiro de la Llana, Ibrahim Nassar, and Pilar Garrido
Ann. Thorac. Surg. 2008 85: 690. [Extract] [Full Text] [PDF]




This Article
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Edward B. Savage
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