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Eur J Cardiothorac Surg 2004;26:1227-1228
© 2004 Elsevier Science NL

Letter to the Editor

Reply to Di CarloREV (Lecompte) procedure: how much better than the Rastelli operation?

Jeong Ryul Lee*, Hong Gook Lim

Department of Thoracic and Cardiovascular Surgery, Seoul National University Children's Hospital, Seoul National University College of Medicine, Seoul National University Medical Research Center, Xenotransplantation Research Center, 28 Yongon-dong, Jongro-gu, Seoul 110-744, South Korea

Received 20 August 2004; accepted 24 August 2004.

* Corresponding author. Tel.: +82 2 760 2877; fax: +82 2 765 7117. (E-mail: jrl@snu.ac.kr).

The first 20% of the full text of this article appears below.

We appreciate the comments of Dr Carlo on our article. In the Lecompte procedure, the anteriorly located pulmonary bifurcation was the possible cause of pulmonary outflow tract obstruction [1]. To solve this problem, Lecompte resected a generous part of the ascending aorta to create enough space in the anterior mediastinum for the pulmonary outflow tract. So the procedure became more complicated, involving transection of the aorta and reanastomosis. In our series, we did not use the Lecompte maneuver in any patient even when the great arteries had an anteroposterior relationship and could bring . . . [Full Text of this Article]






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Copyright © 2004 European Association for Cardio-Thoracic Surgery. Published by Elsevier. All rights reserved.