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Asian Cardiovasc Thorac Ann 2006;14:174
© 2006 Asia Publishing EXchange Ltd

LETTER TO EDITOR

Omental Wrap for Aortic Suture Lines

Shashi Kant, FRCS

Surgical Services, Waikato Hospital, PO Box 3200, New Zealand, Email: shkant101{at}yahoo.co.nz, Tel/Fax: 61 2 1077 1501

I read with interest article from Dr. Kuniyoshi et al1 and I must confess I did use above technique a few times with no regret. However I am little sceptical about using it for Isolated Ascending Aortic Suture Lines. Reasons are possible contamination of abdominal cavity and small but real risk of Myocardial Compression due to Bulky Omental Tissue occupying pericardial and/or anterior Mediastinal Space. Above technique works best for combined thoraco-abdominal or lower thoracic suture lines and can be used as an insurance policy for aorto-viscus fistula2. Again I must congratulate Dr. Kuniyoshi and his team for this important contribution in Cardio-Vascular Surgery.

REFERENCES

  1. Kuniyoshi Y, Koja K, Miyagi K, Uezu 1, Yamashiro S, Arakaki K. Graft for mycotic thoracic aortic aneurysm: omental wrapping to prevent infection. Asian Cardiovasc Thorac Ann 2005 13: 1–6.[Free Full Text]

  2. Reardon MJ, Brewer RJ, LeMaire SA, Baldwin JC, Safi HJ. Surgical management of primary aortoesophageal fistula secondary to thoracic aneurysm. Ann Thorac Surg 2000: 69: 967–70.[Abstract/Free Full Text]





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