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J Thorac Cardiovasc Surg 2006;132:1246-1247
© 2006 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor

J.L. Bobadilla, MD, C.H. Wigfield, MD, P.S. Chopra, MD

Department of Cardiothoracic Surgery, University of Wisconsin Hospital and Clinics, Madison, WI

We graciously thank the authors of this letter to the editor for supplying further supporting data that could not be included in the original manuscript because of space limitations. To briefly clarify the two points of interests raised by this letter, a brief episode of occlusion of less than 5 minutes was used in extraction of the embolism and repair of the pulmonary arteriotomy. The method of patient cooling was both active (cooling blanket) and passive, through operating theater temperature and radiation losses during line placement and anesthetic induction. As is illustrated by the table supplied by Singh and associates, core temperatures from 28°C to 37°C allow occlusion times of 3 to 10 minutes. We appreciate the additional indications for the use of inflow occlusion, and we fully agree with this list, as our senior author is an experienced pediatric cardiac surgeon and intimately familiar with these procedures. In conclusion, we agree that inflow occlusion continues to have a select place in the armamentarium of today's cardiac surgeon and that its clinical results, not withstanding any economic benefits, reserve it a continued place in the modern era of cardiac surgery.


Related Article

Inflow occlusion in the era of modern cardiac surgery
Jaswinder Singh, Rajinder S. Dhaliwal, Suvakanta Biswal, and Naveen Swami
J. Thorac. Cardiovasc. Surg. 2006 132: 1246. [Extract] [Full Text] [PDF]




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