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J Thorac Cardiovasc Surg 2003;126:2120
© 2003 The American Association for Thoracic Surgery

Letter to the editor

Reply to the Editor

N. Doll, MDa, F. W. Mohr, MD, PhDa

a Clinic for Heart Surgery, Heart Center, University of Leipzig, Leipzig, Germany

M. A. Borger, MD, PhDb

b Toronto General Hospital, University of Toronto, Toronto, Ontario, Canada

The first 20% of the full text of this article appears below.

Laczkovics and colleagues have proposed that the 4 cases of esophageal perforation reported in our recent publication1 were the result of a combination of factors unique to our clinical practice, rather than a result of unipolar radiofrequency in and of itself. They have suggested several possible explanatory variables, which we will address in sequence. First, they suggest that our radiofrequency ablation probe was susceptible to temperature overshoot. It is important to stress that we vigilantly monitored probe tip temperature at all times during these procedures to avoid exceeding our target temperature. It should also be stressed that our esophageal perforations . . . [Full Text of this Article]


Related Article

Esophageal perforation during left atrial radiofrequency ablation
Axel Laczkovics, Krishna Khargi, and Thomas Deneke
J. Thorac. Cardiovasc. Surg. 2003 126: 2119-2120. [Extract] [Full Text] [PDF]





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