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Ann Thorac Surg 2003;76:660-661
© 2003 The Society of Thoracic Surgeons

Correspondence

Non-cardioplegic coronary bypass is effective, teachable, and still widely used: letter 1

Lawrence I. Bonchek, MDa

a Lancaster General Hospital, 555 North Duke St, PO Box 3555, Lancaster, PA 17604-3555, USA

e-mail: lbonchek@prodigy.net

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

To the Editor:

Raco and coworkers, from Blackpool, England, reported excellent results in 800 patients who had isolated noncardioplegic CABG [1]. Recent understanding of ischemic preconditioning has dispelled most of the skepticism that once prevailed similar excellent results from many centers. However, in the invited commentary of Raco and coworker’s [1] article De Paulis reveals his persistent skepticism by emphasizing that the operations in Raco and coworker’s [1] study were all performed by a single experienced surgeon, and by asserting that "recommending this technique for large scale application or transferring these results to other cardiac centers is another matter. Intermittent cross-clamping is not preferred by trainees" [1].

. . . [Full Text of this Article]




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