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Ann Thorac Surg 2001;72:S2265-S2266
© 2001 The Society of Thoracic Surgeons

Supplement: Monitoring and improving patient safety during and following cardiac surgery

Discussion

L. Henry Edmunds, Jr, MDa

a Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104-4283, USA

e-mail: hank.edmunds@uphs.upns.upern.edu

We have heard today a very clear, well-outlined, and complete presentation, which was given impromptu, without slides, because of a computer failure. I’ve read the manuscript. The manuscript is wonderful, and we probably learned more from the impromptu presentation than we would have learned from a slide presentation. I really congratulate Dr Menasché on this feat.

I would like to reemphasize a few points that Dr Menasché has already emphasized. From the patient’s point of view, the purpose of the bypass surgery, regardless of how it is performed, is to bypass all of the obstructed vessels that need to be bypassed, and to ensure the best chance for the grafts to remain open. It is very important not to compromise the number of bypass grafts performed and not to compromise the chances of patency of the anastomoses. I’ve never done a coronary artery graft off bypass because I was concerned about the potential of these compromises.

The . . . [Full Text of this Article]




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