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Ann Thorac Surg 2001;71:402
© 2001 The Society of Thoracic Surgeons
a Department of Cardiothoracic Surgery, Boston Medical Center, Suite B404, 88 East Newton St, Boston, MA 02118-2393, USA
e-mail: harold.lazar@bmc.org
To the Editor
I read with interest the article by Martin and associates [1]. While I agree with the data presented, I feel that the left ventricle to coronary sinus shunt (LVCSS) offers less protection to the ischemic myocardium than pressure-controlled intermittent coronary sinus occlusion (PICSO).
In the PICSO technique, coronary sinus (CS) blood is shunted back through the coronary venous system to nourish ischemic myocardium by intermittent occlusion of the CS, using a
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