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Ann Thorac Surg 2003;76:1337-1338
© 2003 The Society of Thoracic Surgeons

Correspondence

Continuous retrograde cardioplegia simplifies aortic valve replacement in the presence of a patent internal mammary artery

Yaron Bar-El, MD, Arkady Kophit, MD, Oved Cohen, MD, Victor Kertzman, MD

Department of Cardiac Surgery, Rambam Medical Center, PO Box 9602, Haifa 31096, Israel

e-mail: y_bar_el@rambam.health.gov.il

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

To the Editor:

We read with great attention and interest two reports [1, 2] in The Annals describing surgical techniques for aortic valve replacement in patients with previous coronary artery bypass grafting and a functioning internal mammary artery (IMA) graft. Both articles emphasize the benefits of avoiding dissection and manipulation of the IMA but differ on the method of myocardial protection, a problematic issue because of continuous perfusion of the heart by the unclamped IMA. Myocardial protection in . . . [Full Text of this Article]






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