6. Blackshear JL, O’Callaghan WG, Califf RM. Medical approaches to prevention of restenosis after coronary angioplasty. JACC 1987;9:834-848. 7. Fox PL, Dicorleto PE. Fish oils inhibit endothelial cell production of platelet-derived growth factor-like protein. Science 1988;241; 453-456. 6. Endres S, Ghorbani R, Kelley VE, Georgilis K, Lonnemann G, Van der Meer JWM, Cannon JG, Rogers TS, Klempner MS, Weber PC, Schaefer EJ, Wolff SM, Dinarello CA. The effects of dietary supplementation with n-3 polyunsaturated fatty acids on the synthesis of interleukin-I and tumor necrosis factor by mononuclear cells. N Engl J Med 1989;320:265271. 9. Weiner BH, Ockene IS, Levine PH. Cuenoud HF, Fisher M, Johnson BF, Dauod AS, Jarmolych J, Hosmer D, Johnson MH, Natale A, Vaudreuil C, Hoogasian JJ. Inhibition of atherosclerosis by cod-liver oil in a hyperlipidemic swine model. N Engl J Med 1986;315:841846. 10. Harris WS, Dujovne CA, Zucker M, Johnson B. Effects of a low saturated fat, low cholesterol fish oil supplement in hypertriglyceridemic patients. Ann Intern Med 1988;109: 465-470. 11. Kromhout D, Bosschieter EB, Coulander CL. The inverse relation between fish consumption and 20-year mortality from coronary heart disease. N Engl J Med 1985;312:1205-1209.
2. Byard RW, Keon WJ, Walley VM. Coronary endarterectomy: the long-term local effects. Am J Cardiouasc Pathol 1988;2:31-38. REPLY: We thank Walley, Byard and Keon for pointing out our error. We regret that we overlooked the article “Coronary Endarterectomy: The Long-Term Local Effects.” It is, in fact, the first report to detail the changes seen late in coronary arteries after endarterectomy. Their study of 9 necropsy cases elegantly describes and illustrates the changes seen in endarterectomized arteries both proximal and distal to the anastomotic site of saphenous vein bypass grafts. They describe myointimal proliferation typical atherosclerotic plaque and organized thrombus at the site of endarterectomy. Myointimal proliferation (as opposed to typical atherosclerotic plaques), similar to that which we described, were believed to be the most common cause of restenosis. Amy H. Kragel, William C. Roberts,
MD MD
Bethesda, Maryland 27 September 1989
386
.
1200
z
1
8
T)r=;67-12; 1 ;1pr ==-0.47 0.055,
.
z I,,
2. Byard RW, Keon WJ, Walley VM. Coronary endarterectomy: the long-term local effects. Am J Cardiouasc Pathol 1988;2:31-38. REPLY: We thank Walley, Byard and Keon for pointing out our error. We regret that we overlooked the article “Coronary Endarterectomy: The Long-Term Local Effects.” It is, in fact, the first report to detail the changes seen late in coronary arteries after endarterectomy. Their study of 9 necropsy cases elegantly describes and illustrates the changes seen in endarterectomized arteries both proximal and distal to the anastomotic site of saphenous vein bypass grafts. They describe myointimal proliferation typical atherosclerotic plaque and organized thrombus at the site of endarterectomy. Myointimal proliferation (as opposed to typical atherosclerotic plaques), similar to that which we described, were believed to be the most common cause of restenosis. Amy H. Kragel, William C. Roberts,
MD MD
Bethesda, Maryland 27 September 1989
386
.
1200
z
1
8
T)r=;67-12; 1 ;1pr ==-0.47 0.055,
.
z I,,
