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Eur J Cardiothorac Surg 2000;17:89
© 2000 Elsevier Science NL

Letter to the Editor

Reply to T. Dosios

Dan Abramov, Yoram Abramov

Division of Cardio-vascular Surgery, Sunnybrook Health Science Center, Toronto, Ontario, M4N 3M5, Canada

Corresponding author. Tel.: +1-416-480-6070; fax: +1-416-480-6072

We had tried to reverse the right pulmonary circulation in three dogs, 6 months after the reversal of the left pulmonary circulation. Unfortunately, all three dogs did not survive the procedure due to occlusion of the Dacron grafts in the left pulmonary circulation. We now believe that the Dacron grafts to the pulmonary veins behave like other Dacron grafts in the venous system, meaning low patency rate shortly after their insertion [1,2]. In order to achieve a chronic model of RPC, which could be pathologically and physiologically investigated, and which could allow long term survival after reversal of the pulmonary circulation in both lungs, we intend to use a different kind of graft to connect the pulmonary artery with the pulmonary veins.

References

  1. Herring M., Gardner A., Peigh P. Patency in canine inferior vena cava grafting: effects of graft material, size, and endothelial seeding. J. Vasc Surg 1984;1(6):877-887.[Medline]
  2. Kambayashi J., Watase M., Itoh T. Blood compatibility of venous prosthesis made of textile or non-textile material. Thromb Res 1992;66(4):365-372.[Medline]
Received November 2, 1999; accepted November 9, 1999.





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