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Dextroposition of the aorta in tetralogy of Fallot

Published online by Cambridge University Press:  30 January 2014

Sahin Bozok,
Mert Kestelli and
Muhammet Akyüz
Sahin Bozok*
Affiliation:
Department of Cardiovascular Surgery, Recep Tayyip Erdogan University Faculty of Medicine, Training and Research Hospital, Rize, Turkey
Mert Kestelli
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Izmir, Turkey
Muhammet Akyüz
Affiliation:
Department of Cardiovascular Surgery, Izmir Ataturk Training and Research Hospital, Izmir, Turkey
*
Correspondence to: S. Bozok, Department of Cardiovascular Surgery, Faculty of Medicine, Recep Tayyip Erdogan University, Training and Research Hospital, Rize, Turkey. E-mail: sahinboz@live.com
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Information

Type
Letter to the Editor
Information
Cardiology in the Young , Volume 24 , Issue 1 , February 2014, pp. 186
Copyright
Copyright © Cambridge University Press 2014 

We are indebted to the reviewers for their contribution to the science, and the interest they showed to our article.Reference Bozok, Kestelli and Ilhan 1

Criticisms of Dr Anderson have given the impression that we might not be able to elucidate our hypothesis very well, which suggested an aortic dextroposition ranging between 5% and 95%. Our relevant presentation “Dextroposition of aorta in tetralogy of Fallot”, which was submitted at the 2008 “World Congress of the World Society of Cardio-Thoracic Surgeons organised in Kos island, Greece”, and our investigation “Think twice while inserting a transannular patch” published in 2009Reference Kestelli, Tulukoglu, Yurekli and Gurbuz 3 are evidence of our interest in the subject of dextroposition of the aorta. We are not influenced by the 2010 edition of the authors’ textbook, as they have hinted.

Dr Anderson admitted that dextroposition of the aorta was not depicted in six of 10 drawings of tetralogy of Fallot in the first edition of his textbook. In figures 36-1, 36-4, 36-11, 36-12, 36-14, 36-15, and 36-19 in Chapter 36 of the third editionReference Anderson, Macartney, Shinebourne and Tynan 4 of his textbook, dextroposition of the aorta was not mentioned. In addition, the authors have not made any solution recommendations on the impact of dextroposition of the aorta on the timing and technique of the surgery.

Our opinion as cardiac surgeons is the necessity to clearly define dextroposition of aorta. We believe that this definition will change the timing and technique of the surgery. Indeed, we also believe that the need for a “transannular patch” will be eliminated, in which case the timing and methods of interventional treatment modalities should be modified.

References

1. Bozok, S, Kestelli, M, Ilhan, G, et al. Tips and pearls for “true” dextroposition of the aorta in tetralogy of Fallot. Cardiol Young 2013; 23: 377–380.Google Scholar
2. Kestelli, M, Tulukoglu, E, Karaca, M, et al. Dextroposition of aorta in tetralogy of Fallot. Presented in 18th world Congress World Society of Cardiothoracic Surgeons. Heart Surgery Forum vol. II, Suppl. II. p. 329.Google Scholar
3. Kestelli, M, Tulukoglu, E, Yurekli, I, Gurbuz, A. Think twice while inserting a transannular patch. Eur J Cardiothorac Surg 2009; 35: 1112–1113.CrossRefGoogle ScholarPubMed
4. Anderson, RH, Macartney, FJ, Shinebourne, EA, Tynan, M (eds). Fallot's tetralogy. In: Paediatric Cardiology, vol. 2. Churchill Livingstone, 1987: 771.Google Scholar
5. Anderson, RH, Baker, EJ, Penny, DJ, Redington, AN, Rigby, ML, Wernovsky, G. (eds). Paediatric Cardiology, 3rd edn. Churchill Livingstone. 2010. p. 757, 759.Google Scholar