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Ann Thorac Surg 2005;80:2422
© 2005 The Society of Thoracic Surgeons

Correspondence

Incidence of Stroke Following Coronary Surgery Without Cardiopulmonary Bypass: Does the Avoidance of Aortic Manipulation Make a Difference?

Antony D. Grayson, BS a , R. Krishnanand Pai, FRCS b , D. Mark Pullan, FRCS b

a Department of Research and Development, The Cardiothoracic Centre, Liverpool, L14 3PE United Kingdom
b Department of Cardiothoracic Surgery, The Cardiothoracic Centre, Liverpool, L14 3PE United Kingdom

(Email: tony.grayson@ctc.nhs.uk).

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

To the Editor:

We enjoyed reading the article by Kapetanakis and colleagues [1] that examined the impact of aortic manipulation on neurological outcomes after coronary artery bypass surgery (CABG). However, although they concluded that aortic manipulation was a contributing factor for the development of postoperative stroke, they failed to show a significant difference between their off-pump CABG groups with or without aortic manipulation.

This finding is similar to work previously carried out within our own institution by Patel and associates [2]. The conclusion from this study was that off-pump CABG, with or without aortic manipulation, reduces neurological outcomes compared . . . [Full Text of this Article]






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