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


Correspondence

Coronary surgery with intermittent aortic cross-clamping: a word of caution on the incidence of cerebrovascular accidents: letter 2

Pedro E. Antunes, MDa, Manuel J. Antunes, MDa

a Cardiothoracic Surgery, University Hospital, Coimbra 3000, Portugal

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

To the Editor:

We have read with great interest the article by Raco and coworkers [1]. We congratulate the authors for the good results of their coronary surgery using a technique that is gaining increasing acceptance by many units throughout the world.

Hypothermic ventricular fibrillation, with or without intermittent aortic cross-clamping, was used in the earliest days of coronary surgery for ischemic heart disease, but most surgeons now use one of several forms of cardioplegia for myocardial protection during coronary artery bypass graft (CABG). There is no doubt that cardioplegia affords protection to the myocardium, as revealed unequivocally by an endless number of . . . [Full Text of this Article]







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