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Ann Thorac Surg 2006;81:1178
© 2006 The Society of Thoracic Surgeons

Correspondence

Reply

Fernando A. Atik, MD, Jose L. Navia, MD

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave/H35, Cleveland, OH 44195

(Email: atikf{at}ccf.org).

To the Editor:

We are delighted with the letter by Dr Pocar and colleagues [1] in reference to our article, recently published at The Annals of Thoracic Surgery [2].

Although not mentioned in our article, the 8-mm interposition graft anastomosis is performed in an oblique fashion, as suggested by Pocar and colleagues [1], in order to avoid ipsilateral arm overcirculation and diminished systemic perfusion. The cannula is connected and fixed to the graft, and is tunneled to a small, second skin incision laterally, paying attention to any possible kinking. The exteriorization of the cannula should be as close as possible to the artery, avoiding any mechanical anastomotic problems.

We thank Dr Pocar and colleagues [1] of their interest in this issue.


   References
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 References
 

  1. Pocar M, Moneta A, Mattioli R, Donatelli F. Closed-chest transaxillary venoarterial ECMO (letter) Ann Thorac Surg 2006;81:1177-1178.[Free Full Text]
  2. Navia JL, Atik FA, Beyer EA, Vega PR. Extracorporeal membrane oxygenation with right axillary perfusion Ann Thorac Surg 2005;79:2163-2165.[Abstract/Free Full Text]

Related Article

Closed-Chest Transaxillary Venoarterial ECMO
Marco Pocar, Andrea Moneta, Roberto Mattioli, and Francesco Donatelli
Ann. Thorac. Surg. 2006 81: 1177-1178. [Extract] [Full Text] [PDF]




This Article
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