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Ann Thorac Surg 2000;70:338-339
© 2000 The Society of Thoracic Surgeons

Correspondence

Endarterectomy on a beating heart

Harinder Singh Bedi, MCha, Maninder Singh Kalkat, MCha

a Tagore Heart Care & Research Centre, 339 GTB Nagar, Jalandhar, Punjab 144 003, India

e-mail: bedi@jla.vsnl.net.in

To the Editor

We read with interest the letter by Naseri and Arsan [1] on endarterectomy on the beating heart. We have been successfully using the beating heart technique whenever feasible in elective cases with suitable anatomy, including the high risk cases in which cardiopulmonary bypass is relatively contraindicated (severe chronic obstructive pulmonary disease, advanced renal failure, advanced age, calcified aorta, or severe left ventricular dysfunction) [2]. We have found that coronary endarterectomy is actually technically easier on a beating heart, as the regular contraction of the heart helps greatly in the traction and counter-traction that is essential for the closed technique. We have performed endarterectomy on the beating heart in 18 patients so far. Our indications for endarterectomy are the same as for a conventional (on-pump) coronary artery bypass grafting and are limited to conditions that preclude effective distal bypass to ischemic myocardium (long diffuse disease, 3 patients; distal vessel less than 1 . . . [Full Text of this Article]


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Erdesir Naseri and Sinan Arsan
Ann. Thorac. Surg. 2000 70: 339-340. [Extract] [Full Text] [PDF]





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