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Gordon N. Olinger
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Ann Thorac Surg 1981;32:554-557
© 1981 The Society of Thoracic Surgeons

Articles

Noncoronary Collateral Distribution in Coronary Artery Disease

Gordon N. Olinger, M.D.*, Lawrence I. Bonchek, M.D., Dale M. Geiss, M.D.

From the Department of Cardiothoracic Surgery, The Medical College of Wisconsin, Milwaukee, WI

Accepted for publication March 9, 1981.

* Address reprint requests to Dr. Olinger, Department of Cardiothoracic Surgery, The Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226

Noncoronary collateral flow is a potential hazard when cold cardioplegia is used for myocardial protection. In this study, noncoronary collateral flow was observed during coronary revascularization in 58 patients. It was distributed significantly (p < 0.005) toward arteries demonstrating intercoronary collateral flow angiographically—10 of 35 with and 12 of 121 without. Preponderance of coronary collateral flow in hearts with more extensive disease may complicate cardioplegic myocardial protection for such patients.




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S. F. Bolling, K. R. Kanter, J. T. Flaherty, V. L. Gott, and T. J. Gardner
Identification and Control of Noncoronary Collateral Blood Flow
Ann. Thorac. Surg., September 1, 1984; 38(3): 232 - 236.
[Abstract] [PDF]


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