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Ann Thorac Surg 1975;19:327-330
© 1975 The Society of Thoracic Surgeons
Department of Surgery, University of Mississippi School of Medicine, Jackson, Miss., and the Department of Thoracic and Cardiovascular Surgery, St. Vincent Charity Hospital, Cleveland, Ohio
Accepted for publication September 3, 1974.
* Address reprint requests to Dr. Kay, 2475 E. 22nd St., Cleveland, Ohio 44115
Although the use of retrograde arteriovenous bypass perfusion may seem appealing in those patients with diffuse occlusive coronary artery disease in whom arterial bypasses are not possible, the likelihood of success seems small. Experimental evidence indicates that such retroperfusion in opposition to antegrade perfusion causes the myocardium to become hemorrhagic. Further experimental evidence indicates that this damaging effect on the myocardium may be prevented by a second bypass which vents the arterial side to a low-pressure system.
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