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Cardiovascular Surgery Discipline, Escola Paulista de Medicina, Federal University of Sao Paulo, Rua Borges Lagoa 1080 cj 608, São Paulo, 04038-002–SP Brazil
(Email: wjgomes.dcir@epm.br).
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To the Editor:
Holzhey and colleagues are to be commended for the great amount of effort expended to provide this large case series on this relevant and very timely subject [1]. However, the question posed is: to whom and for what? The benefits afforded to patients and the cost-effectiveness of the procedure should be carefully analyzed in the light of recent trials and scientific evidence.
Coronary revascularization is performed on the premise to improve survival or to afford better quality of life, mainly relieving angina and improving functional status, or both. A recent meta-analysis of randomized
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W. J. Gomes Reply Ann. Thorac. Surg., April 1, 2011; 91(4): 1306 - 1307. [Full Text] [PDF] |
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D. Holzhey Reply Ann. Thorac. Surg., September 1, 2009; 88(3): 1047 - 1048. [Full Text] [PDF] |
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