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Ann Thorac Surg 2007;83:1758-1759
© 2007 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Invited commentary

Craig Selzman, MD

Division of Cardiothoracic Surgery, University of North Carolina, CB #7065, 3040 Burnett-Womack Building, Chapel Hill, NC 27599-7065

(Email: selzman@med.unc.edu).

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

Many patients presenting for cardiac surgery have significant left ventricular hypertrophy, commonly from long-standing hypertension or valvular heart disease. Several groups in the last 5 years have reported that left ventricular hypertrophy predicts excessive rates of morbidity and mortality in patients having cardiac surgery. Left ventricular hypertrophy is troublesome in that myocardial perfusion, particularly to the subendocardium, is not predictably homogenous. This issue becomes even more pertinent with coexisting coronary artery disease. The optimal strategy for protecting hypertrophied hearts, including types of cardioplegia and routes of delivery, remains an active debate both experimentally and clinically.

Wang and colleagues [1] continue their work . . . [Full Text of this Article]


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Does Normothermic Normokalemic Simultaneous Antegrade/Retrograde Perfusion Improve Myocardial Oxygenation and Energy Metabolism for Hypertrophied Hearts?
Jian Wang, Hongyu Liu, Tomas A. Salerno, Bo Xiang, Gang Li, Marco Gruwel, Michael Jackson, Darren Manley, Boguslaw Tomanek, Roxanne Deslauriers, and Ganghong Tian
Ann. Thorac. Surg. 2007 83: 1751-1758. [Abstract] [Full Text] [PDF]





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