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Ann Thorac Surg 2008;85:1503. doi:10.1016/j.athoracsur.2007.12.020
© 2008 The Society of Thoracic Surgeons
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Correspondence

Reply

T. Brett Reece, MDa, Irving L. Kron, MDb

a University of Colorado, 12631 E 17th Ave, Rm 6602, MS C310, Aurora, CO 80045
b Thoracic and Cardiovascular Surgery, University of Virginia, Charlottesville, Virginia 22908

(Email: brett.reece{at}uchsc.edu; ilk{at}virginia.edu).

To the Editor:

We would like to thank Dr Bassano and Dr Chiariello for their kind comments [1] on our article regarding the aggressive replacement of the ascending aorta in patients undergoing aortic valve procedures [2]. Their experience supports the approach we presented. Their data provide further support that dilatation may indicate that the interstitium of the vessel wall is abnormal and therefore is prone to further dilatation. We agree that this dilatation is an indication for replacement, which we would prefer over aortoplasty, of the dilated ascending aorta in patients undergoing aortic valve procedures.


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  1. Bassano C, Chiariello L. Aortic valve disease with concomitant proximal aorta dilation: surgical strategy(letter) Ann Thorac Surg 2008;85:1502-1503.[Free Full Text]
  2. Reece TB, Singh RR, Stiles BM, et al. Replacement of the proximal aorta adds no further risk to aortic valve procedures Ann Thorac Surg 2007;84:473-478.[Abstract/Free Full Text]

Related Article

Aortic Valve Disease With Concomitant Proximal Aorta Dilation: Surgical Strategy
Carlo Bassano and Luigi Chiariello
Ann. Thorac. Surg. 2008 85: 1502-1503. [Extract] [Full Text] [PDF]




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