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Ann Thorac Surg 2003;76:451-452
© 2003 The Society of Thoracic Surgeons

Invited commentary

^a TCV Surgery, UVA Medical Center, Lee Street–Room 2753, Box 800679Charlottesville, VA 22908, USA

e-mail: ilk@hscmail.mcc.virginia.edu

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

Surgical revascularization for ischemic cardiomyopathy remains a controversial topic.

Patient selection clearly is a major issue. In fact the STICH Trial funded by the NHLBI has been developed to give us better information on this topic. Dr Al-Ruzzeh and colleagues started with the hypothesis that off-pump revascularization was clearly superior to on-pump revascularization in patients with ischemic cardiomyopathy. The univariate analysis demonstrated that the off-pump group actually did better. More thorough statistical analysis demonstrated that in fact, the presence of cardiopulmonary by-pass was not a significant factor. The major finding that the author’s noted was preoperative VT or VF was in fact a harbinger of a poor outcome. The author’s are to be . . . [Full Text of this Article]