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Ann Thorac Surg 2003;75:183
© 2003 The Society of Thoracic Surgeons

Invited commentary

^a Columbia University College of Physicians and Surgeons, St. Luke’s-Roosevelt Hospital Center, New York, NY, USA

e-mail: jjd11@columbia.edu

The first 20% of the full text of this article appears below.

Kihara and associates provide an elegant analysis of the medium and small vessel arterial wall pathology associated with continuous flow left ventricular assist devices (LVAD). This report is especially pertinent given the recent clinical trials of three new continuous axial flow LVADs [1–3].

The authors show that decreased pump flow and pulsatilty index result in significant medial smooth muscle cell hypertrophy . . . [Full Text of this Article]

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