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J Thorac Cardiovasc Surg 2007;133:292-293
© 2007 The American Association for Thoracic Surgery

Editorial

Reply to Di Donato and colleagues

James O. O’Neill, FRCPIc, Randall C. Starling, FACC, MPHb,*, Mina K. Chung, FACCa

a Department of Cardiac Electrophysiology, Cleveland Clinic Foundation, Cleveland, Ohio
b Department of Heart Failure and Cardiac Transplantation, Cleveland Clinic Foundation, Cleveland, Ohio
c Department of Clinical Cardiology, Conolly Hospital, Dublin, Ireland.

Received for publication September 9, 2006; accepted for publication September 20, 2006.

* Address for reprints: Randall C. Starling, FACC, MPH, Department of Heart Failure and Cardiac Transplantation, Cleveland Clinic Foundation, Cleveland, Ohio, 44118. (Email: starlir@ccf.org).

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

GoWe are grateful to the editors of the Journal for allowing us to respond to the editorial by Di Donato and colleagues.1Go

We wish to acknowledge the pioneering work by Drs Di Donato, Sabatier, and Mericanti and in particular Dr Dor in the field of surgery for patients with heart failure.

Their editorial raises several important issues. At the heart of the debate is whether left ventricular reconstruction is proarrhythmogenic, antiarrhythmogenic, or completely neutral. Dr Di Donato and colleagues have the largest collection of patients who have undergone volume reduction surgery, and they have produced many sentinel articles in this field.

The differences in outcomes can be explained by several factors. In our cohort patients were at a more advanced stage of disease, with mean . . . [Full Text of this Article]


Related Article

Incidence of ventricular arrhythmias after left ventricular reconstructive surgery
Marisa Di Donato, Michel Sabatier, Lorenzo Menicanti, and Vincent Dor
J. Thorac. Cardiovasc. Surg. 2007 133: 289-291. [Extract] [Full Text] [PDF]





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