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Ann Thorac Surg 1975;20:72-75
© 1975 The Society of Thoracic Surgeons

Articles

Coronary Artery Perfusion

Lawrence L. Michaelis, M.D.

From the Clinic of Surgery, National Heart and Lung Institute, National Institutes of Health, Bethesda, Md. 20014.

Perfusion of the coronary arteries with oxygenated blood during cardiopulmonary bypass should in theory offer perfect myocardial protection, but the difficulties sometimes encountered with direct cannulation and the hazards of prolonged fibrillation in spite of perfusion raise questions regarding its universal efficacy. Arguments for and against coronary artery perfusion are presented and the hazards of partial perfusion are stressed.




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