Iatrogenic pseudoaneurysm of the axillary artery: Prevention better than cure. (Anand Sachithanandan, 21 July 2011)
I read with interest the excellent report by Mazzaccaro et al regarding successful ultrasound guided endovascular stent repair of an iatrogenic axillary artery pseudoaneurysm via the brachial route (1). Although the reported incidence of iatrogenic axillary artery false aneurysms is rare, it is likely such complications will increase in the future as axillary cannulation becomes increasingly popular in contemporary surgical practice for repair of ascending aorta and arch aneurysms or dissections, and for re-operative...
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Comment on: Mazzaccaro et al. Journal of Cardiothoracic Surgery, 6:78
The first two authors contributed equally the same to this study (Jan D. Schmitto, 27 April 2010)
Please write in that article:
"The first two authors contributed equally the same to this study!"
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Comment on: Schmitto et al. Journal of Cardiothoracic Surgery, 4:47
Reservations on SAC (A Protopapas, 29 August 2008)
Just a quick comment: cannulating the innominate artery does nothing to prevent cardiac injury upon re-entry, it just offers an option for the aortic pipe IN CASE OF CARDIAC INJURY-we still have to divide the sternum and mostly introduce bicaval cannulae.I do not see how access for cannulation via the suprasternal notch is safer than redo sternotomy-the tissues are already adhered given the previous sternotomy, particularly where thymectomy and innominate cannulation have taken place in the first operation.The same applies to cavoatrial cannulation without sternotomy-a video showing the technique would be illuminating! Kindest RegardsAristotle D Protopapas MSc. FRCS
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Comment on: Cirillo et al. Journal of Cardiothoracic Surgery, 1:40
LAM is a real possibility (Ben Creagh-Brown, 23 January 2007)
Dear Sirs,I read your case with great interest. I have recent published a case of recurrent pneumothorax during pregnancy where the underlying diagnosis was LAM (Creagh-Brown B, Cooke N, Corbishley C, Conservative management of an unusual cause of breathlessness during pregnancy. Respiratory Medicine Extra (2006) 2, 116–119)You mention the possibility that LAM may underlie your patient's presentations but do not explain what investigations have taken place to exclude this possibility. It would be reassuring to know that her pulmonary function tests and HRCT were normal.Yours sincerely, Ben
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Comment on: Sills et al. Journal of Cardiothoracic Surgery, 1:35
Alternative single stage approach for dealing with CoA and associated cardiac disease. (jagannath byalal, 28 July 2006)
I read with great interest the article detailing the use of sternotomy, TCA and extranatomic conduit for bypassing the coarcted segment. It indeed is an excellent palliation in the sense that it still uses a conduit, needs TCA which certainly is not totally benign and the conduit lie, position and length must be carefully adjusted so that compression by the cardiac mass does not occur. We had a patient recently who was 50 yrs old, had severe calcific aortic stenosis and a very tight coarctation.I elected to do both at a single sitting using a transverse sternotomy with a left thoracotomy extended onto the right side a little bit. In this particular instance I opened the right pleura but I believe that the same could be done without opening the pleura on the right side.The access to the...
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Comment on: Yilmaz et al. Journal of Cardiothoracic Surgery, 1:18
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Iatrogenic pseudoaneurysm of the axillary artery: Prevention better than cure. (Anand Sachithanandan, 21 July 2011)
I read with interest the excellent report by Mazzaccaro et al regarding successful ultrasound guided endovascular stent repair of an iatrogenic axillary artery pseudoaneurysm via the brachial route (1). Although the reported incidence of iatrogenic axillary artery false aneurysms is rare, it is likely such complications will increase in the future as axillary cannulation becomes increasingly popular in contemporary surgical practice for repair of ascending aorta and arch aneurysms or dissections, and for re-operative... read full comment
Comment on: Mazzaccaro et al. Journal of Cardiothoracic Surgery, 6:78
The first two authors contributed equally the same to this study (Jan D. Schmitto, 27 April 2010)
Please write in that article:
"The first two authors contributed equally the same to this study!" read full comment
Comment on: Schmitto et al. Journal of Cardiothoracic Surgery, 4:47
Reservations on SAC (A Protopapas, 29 August 2008)
Just a quick comment: cannulating the innominate artery does nothing to prevent cardiac injury upon re-entry, it just offers an option for the aortic pipe IN CASE OF CARDIAC INJURY-we still have to divide the sternum and mostly introduce bicaval cannulae.I do not see how access for cannulation via the suprasternal notch is safer than redo sternotomy-the tissues are already adhered given the previous sternotomy, particularly where thymectomy and innominate cannulation have taken place in the first operation.The same applies to cavoatrial cannulation without sternotomy-a video showing the technique would be illuminating! Kindest RegardsAristotle D Protopapas MSc. FRCS read full comment
Comment on: Knott-Craig et al. Journal of Cardiothoracic Surgery, 3:10
See a pubcast of this article at SciVee! (Lynn Fink, 29 August 2008)
Link to a video of this article. read full comment
Comment on: Cirillo et al. Journal of Cardiothoracic Surgery, 1:40
LAM is a real possibility (Ben Creagh-Brown, 23 January 2007)
Dear Sirs,I read your case with great interest. I have recent published a case of recurrent pneumothorax during pregnancy where the underlying diagnosis was LAM (Creagh-Brown B, Cooke N, Corbishley C, Conservative management of an unusual cause of breathlessness during pregnancy. Respiratory Medicine Extra (2006) 2, 116–119)You mention the possibility that LAM may underlie your patient's presentations but do not explain what investigations have taken place to exclude this possibility. It would be reassuring to know that her pulmonary function tests and HRCT were normal.Yours sincerely, Ben read full comment
Comment on: Sills et al. Journal of Cardiothoracic Surgery, 1:35
Alternative single stage approach for dealing with CoA and associated cardiac disease. (jagannath byalal, 28 July 2006)
I read with great interest the article detailing the use of sternotomy, TCA and extranatomic conduit for bypassing the coarcted segment. It indeed is an excellent palliation in the sense that it still uses a conduit, needs TCA which certainly is not totally benign and the conduit lie, position and length must be carefully adjusted so that compression by the cardiac mass does not occur. We had a patient recently who was 50 yrs old, had severe calcific aortic stenosis and a very tight coarctation.I elected to do both at a single sitting using a transverse sternotomy with a left thoracotomy extended onto the right side a little bit. In this particular instance I opened the right pleura but I believe that the same could be done without opening the pleura on the right side.The access to the... read full comment
Comment on: Yilmaz et al. Journal of Cardiothoracic Surgery, 1:18