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Division of Cardiothoracic Surgery, Mt. Prospect Medical Center, 1940 S. Carboy Rd, Mt Prospect, IL 60056
(Email: xiaoshiqi.md@gmail.com).
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To the Editor:
Azmoun and his colleagues deserve to be congratulated for their recent publication regarding exclusive internal thoracic arteries (ITA) as grafts in coronary artery bypass grafting (CABG) under normothermic cardiopulmonary bypass [1]. The description of this intriguing and elegant surgical technique is one more report on this topic from Jegaden and colleagues [2], who were first reporters from France in 1994. This technique was reported from the US as early as the 1980s [3, 4].
However, some parts of this presentation are questionable. The flow competition, by their statement, is the main culprit. It is true some flow competition exists with this technique, but competitive flow
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Ann. Thorac. Surg. 2009 87: 1325-1326.
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A. Azmoun, R. Ramadan, N. Al-Attar, and R. Nottin Reply Ann. Thorac. Surg., April 1, 2009; 87(4): 1325 - 1326. [Full Text] [PDF] |
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