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Ann Thorac Surg 2009;88:53. doi:10.1016/j.athoracsur.2009.04.051
© 2009 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Craig Selzman, MD

University of Utah, 30 N 1900 E, 3C 127 SOM, Salt Lake City, UT 84132

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

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

No doubt exists as to the benefit of the left internal mammary artery (LIMA) to the left anterior descending artery (LAD) bypass in coronary artery bypass graft surgery (CABG). Despite provocative evidence that additional arterial grafting can provide survival advantages, many surgeons remain reluctant to deviate from the LIMA and saphenous vein conduits. A number of reasons might explain this strategy, including speed of procurement, ease of working with vein grafts, issues related to competitive flow and less complete revascularization, and perceived notions of inadequate immediate flow. Conversely, many surgeons have aggressively adopted off-pump coronary artery bypass (OPCAB) approaches. Although others have demonstrated the safety of all arterial grafting during OPCAB, . . . [Full Text of this Article]


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In-Hospital Outcomes of Off-Pump Multivessel Total Arterial and Conventional Coronary Artery Bypass Grafting: Single Surgeon, Single Center Experience
Shahzad G. Raja, Hajira Siddiqui, Charles D. Ilsley, and Mohamed Amrani
Ann. Thorac. Surg. 2009 88: 47-52. [Abstract] [Full Text] [PDF]





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