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Klaus Kallenbach
Axel Haverich
Matthias Karck
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J Thorac Cardiovasc Surg 2008;135:715-716
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor

Hiroyuki Kamiya, MDa, Klaus Kallenbach, MDa, Axel Haverich, MDb, Matthias Karck, MDa

a Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany
b Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany

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

We are grateful for the opportunity to respond to the letter by Kazui and associates. We appreciate the comments on our recent article reporting moderate hypothermic lower body circulatory arrest with selective cerebral perfusion.1Go Their comments can be summarized as follows: (1) concern with the safety of moderate hypothermic lower body circulatory arrest with selective cerebral perfusion in regard to protection of other organs, especially the spinal cord; (2) concern about the possibility of left vertebrobasilar ischemia in patients with 2-vessel selective cerebral perfusion; (3) concern that the circulatory arrest time might actually be shorter with the separated graft technique of arch vessel reconstruction compared with the island technique; (4) need for a bail-out technique when the arrest time becomes unexpectedly long; (5) concern about the reason for the high rate of re-exploration for bleeding in our series; and (6) concern that our strategy might be dangerous in complicated cases, . . . [Full Text of this Article]


Related Article

The safety of moderate hypothermic circulatory arrest with selective cerebral perfusion
Teruhisa Kazui and Abul Hasan Muhammad Bashar
J. Thorac. Cardiovasc. Surg. 2008 135: 715. [Extract] [Full Text] [PDF]





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