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J Thorac Cardiovasc Surg 1999;117:196-197
© 1999 Mosby, Inc.

LETTERS TO THE EDITOR

Deep hypothermic circulatory arrest and retrograde cerebral perfusion

To the Editor:

We thank Dr Jonas for his informative response regarding our article and appreciate his contributions to this field in pediatric cardiac surgery.

We did have neurologists or radiologists involved in this study. They did preoperative or postoperative neurologic examinations of our patients or reviewed the radiologic images. We must apologize for not including their names among the authors of our paper and for not stating their contribution in the methods section. We acknowledge that the inference that "a DHCA + RCP period of up to 80 minutes under a nasopharyngeal temperature of 18°C is safe" in our experience is rather anecdotal and cannot be totally substantiated. However, if we divide the patients into 2 groups—those who had DHCA + RCP for less than 60 minutes and those in whom this period lasted 60 minutes or more—we cannot find any difference in the incidence of mortality, stroke, and transient neurologic dysfunction. However, it is obvious that we should reduce the period of DHCA as much as possible, even in patients who require a complex repair of the aortic arch.

Yutaka Okita, MD
Shinichi Takamoto, MD
Motomi Ando, MD
Yasunaru Kawashima, MD
Department of Cardiovascular Surgery
National Cardiovascular Center
Osaka, Japan

12/8/93654




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[Abstract] [Full Text] [PDF]

This Article
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