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Communications to the Editor |

Dissecting Aortic Aneurysm FREE TO VIEW

H. Alexander Heggtveit, MD
Author and Funding Information

Affiliations: McMaster University Hamilton, Ontario, Canada,  London Health Sciences Centre London, Ontario

Correspondence to: H. Alexander Heggtveit, MD, Department of Pathology and Molecular Medicine, McMaster University, Faculty of Health Sciences, 1200 Main St. West, Hamilton, Ontario, Canada, L8N 3Z5



Chest. 2000;118(3):880. doi:10.1378/chest.118.3.880
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To the Editor:

Little and coworkers (November 1999),1refer to a dissecting aortic aneurysm “thought to be due to a congenitally bicuspid aortic valve.“ Since the etiopathogenesis of aortic dissection in this context is not understood,2 the relationship to bicuspid aortic valve should be regarded as associative rather than as primarily causative.

It is noted that the surgical procedure employed was described initially by Hugh Bentall,3 not “Bentol” as stated in the article.

References

Little, S, Johnson, J, Moon, B-Y, et al (1999) Painless left hemorrhagic pleural effusion: an unusual presentation of dissecting ascending aortic aneurysm.Chest116,1478-1480. [CrossRef] [PubMed]
 
Heggtveit, HA Nonatherosclerotic diseases of the aorta. Silver, MD eds.Cardiovascular pathology 2nd ed.1991,307-340 Churchill Livingstone. New York, NY:
 
Bentall, H, De Bono, A A technique for complete replacement of the ascending aorta.Thorax1968;23,338-339. [CrossRef] [PubMed]
 
To the Editor:

Benjamin Franklin once said, “Our critics are our friends, for they show us our faults.” In this spirit, we would like to thank Dr. Heggtveit for pointing out our sloppiness. We regret misspelling the procedure that is named after Dr. Hugh Bentall. As well, we fully accept that, whereas the association of a congenitally bicuspid aortic valve and an ascending aortic aneurysm with a risk of dissection is well described, our initial statement did erroneously imply a higher certainty of causation than is justified.


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References

Little, S, Johnson, J, Moon, B-Y, et al (1999) Painless left hemorrhagic pleural effusion: an unusual presentation of dissecting ascending aortic aneurysm.Chest116,1478-1480. [CrossRef] [PubMed]
 
Heggtveit, HA Nonatherosclerotic diseases of the aorta. Silver, MD eds.Cardiovascular pathology 2nd ed.1991,307-340 Churchill Livingstone. New York, NY:
 
Bentall, H, De Bono, A A technique for complete replacement of the ascending aorta.Thorax1968;23,338-339. [CrossRef] [PubMed]
 
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