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Eur J Cardiothorac Surg 2005;28:780
© 2005 Elsevier Science NL

Letter to the Editor

Reply to Lunkenheimer et al.

Antonio F. Corno *

Alder Hey Royal Children Hospital, Eaton Road, Liverpool L12 2AP, England, UK

Received 24 July 2005; accepted 9 August 2005.

* Tel.: +44 151 2525 713; fax: +44 151 2525 643. (Email: antonio.corno{at}rlc.nhs.uk).

Key Words: Anatomy • Aortic valve • Myocardial band • Ross operation • Surgery

I have read with great attention the comments sent by Paul Lunkenheimer, Klaus Redmann and Robert Anderson, on my Letter ‘Ventricular myocardial band and Ross operation’ [1].

Despite I have repeatedly analyzed their comments, the only argument with some connection with the text of my letter was referring my final comment ‘the new concepts on cardiac anatomy and physiology proposed by Dr Francisco Torrent-Guasp deserve for further and deeper investigations, performed with adequate curiosity, and without nihilism’ [1].

I agree with Lunkenheimer and colleagues that the new concepts of anatomy and physiology supported by Dr Francisco Torrent-Guasp are in full disagreement with centuries of previous observations, but I respectfully disagree that only because of this reason they should automatically be disregarded as ‘spurious’.

The invitation to thoroughly investigate the matter, instead of blindly refusing the new observations simply because in disagreement with the previous knowledge, came not only by ourselves [2], but also by other scientists writing on the same topic [3,4].

Furthermore, these were also the conclusions of the scientific meeting ‘The new concepts of cardiac anatomy and physiology. The Torch of Francisco Torrent-Guasp’, organized in Liverpool, England, on May 28th, 2005 (http://www.alderhey.com/Cardiac2005/), where Paul Lunkenheimer was a member of the Faculty.

Finally, none of the specific comments criticizing a recent paper by Castella and colleagues on anatomical and physiological observations on the structure/function cardiac interface based on microsonometric findings [5] was addressed to the specific topic of my Letter, namely the surgical anatomy of the ventricular outflow tract and its implication for the pulmonary autograft preparation during the Ross operation.

References

  1. Corno AF. Ventricular myocardial band and Ross operation. Eur J Cardiothorac Surg 2005;27:1128.[Free Full Text]
  2. Torrent-Guasp F, Kocica MJ, Corno AF, Komeda M, Carreras-Costa F, Flotats A, Cosin-Aguillar J, Wen H. Towards new understanding of the heart structure and function. Eur J Cardiothorac Surg 2005;27:191-201.[Abstract/Free Full Text]
  3. von Segesser LK. The myocardial band: fiction or fact?. Eur J Cardiothorac Surg 2005;27:181-182.[Free Full Text]
  4. Buckberg GD. New technology and old responsibilities. Eur J Cardiothorac Surg 2005;27:472-474.[Free Full Text]
  5. Castella M, Buckberg GD, Saleh S, Gharib M. Structure function interface with sequential shortening of basal and apical components of the myocardial band. Eur J Cardiothorac Surg 2005;27:980-987.[Abstract/Free Full Text]




This Article
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Right arrow Cardiac - physiology
Right arrow Cardiac - other
Right arrow Congenital - acyanotic

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