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Correspondence

A Patent Left Internal Thoracic Artery Should Not Be Dissected or Clamped During Reoperative Cardiac Surgery

Department of Cardiac Surgery, University of Leicester, Glenfield Hospital, Groby Rd, Leicester, LE3 9QP United Kingdom

(Email: mg50@le.ac.uk).

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

To the Editor:

The issue of what to do with a patent left internal thoracic artery (LITA) during cardiac reoperations is of paramount importance because it may affect the complexity of the surgical procedure to be carried out, the quality of the myocardial protection obtained, and as a result, the operative morbidity and mortality. Therefore, we have read with great interest the article by Smith and colleagues [1] in which they question whether a patent LITA needs to be clamped in reoperative cardiac surgery. This was a prospective, nonrandomized study, and although the authors tested the fitness of . . . [Full Text of this Article]