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Ann Thorac Surg 2005;80:386
© 2005 The Society of Thoracic Surgeons

Correspondence

Reply

Sinan Arsan, MD

Department of Cardiovascular Surgery, Marmara University Medical Faculty Foundation, Academic Hospital, Istanbul, 34758 Turkey

(Email: sinanarsan{at}superonline.com).

To the Editor:

Thank you for giving us the opportunity to rediscuss the management of moderately sized tubular ascending aortic aneurysms. Dr Banfi and co-workers had not seen any complications, such as pseudoaneurysm formation of the ascending aorta. I think this is primarily due to their great experiences in such surgical procedures. It is well known that these types of complications might have been seen if one performs an aortotomy incision.

On the other hand, my technique involves plication of an oval segment of the ascending aortic wall. It means no incisional and anastomotic pseudoaneurysm, or both. Also this simple technique can be easily performed without cardiopulmonary bypass so called "off-pump reduction aortoplasty" [1]. In conclusion, this is a simple and reliable technique, and it is also a type of minimally invasive repair of some kind of ascending aortic aneurysms.


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  1. Arsan S. Off-pump reduction aortoplasty and concomitant coronary artery bypass grafting Ann Thorac Surg 2004;78:316-319.[Abstract/Free Full Text]

Related Article

End-to-End Anastomosis for Ascending Aortic Aneurysm
Carlo Banfi, Mauro Rinaldi, Andrea M. D’Armini, and Mario Viganò
Ann. Thorac. Surg. 2005 80: 385-386. [Extract] [Full Text] [PDF]




This Article
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