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J Thorac Cardiovasc Surg 1996;111:903-904
© 1996 Mosby, Inc.

LETTERS TO THE EDITOR

Massive bleeding at resternotomy despite a polytetrafluoroethylene surgical membrane

Department of Cardiothoracic Surgery
Thoraxcentre, Bd 156
University Hospital Sophia/Dijkzigt
Dr. Molewaterplein 40
3015 GD Rotterdam, The Netherlands

Reply to the Editor:

I thank Mr. Stark for commenting on my short communication. ¹ Mr. Stark is known to be interested in pericardial substitutes in general and the polytetrafluoroethylene* membrane in particular and has reported expertly on resternotomy. ²

The method of resternotomy that Mr. Stark describes is one of many methods that can all be regarded as "careful surgical technique." In this regard it is most important that, whatever recommendation is being made, Mr. Stark confirm that careful surgical technique cannot be substituted by a polytetrafluoroethylene membrane.

References

1. Bogers AJJC. Massive bleeding at resternotomy despite a polytetrafluoroethylene surgical membrane. J THORAC CARDIOVASC SURG 1995;110:274-5.[Free Full Text]
   
2. Stark J. Approaches to the heart and great vessels at reoperation. In: Stark J, Pacifico AD, eds. Reoperations in cardiac surgery. Berlin: Springer, 1989:43-53.
   

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