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Ann Thorac Surg 1996;61:87
© 1996 The Society of Thoracic Surgeons

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Invited Commentary

Invited Commentary

Division of Cardiothoracic Surgery, New England Deaconess Hospital, 110 Francis St, Suite 2C, Boston, MA 02215

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

See also page 82.

There is perhaps no other subject that elicits such a strong and visceral (and always biased) response from the cardiac surgeon than ventricular fibrillation. The spectrum ranges from those (few) who routinely use intermittent aortic cross-clamping and fibrillation as an intraoperative myocardial management strategy to those who ``never'' allow the heart to fibrillate during cardioplegia, and rapidly defibrillate if needed early in reperfusion to prevent myocellular damage. Who is right? The simple answer to the question is probably both. Why? The metrics . . . [Full Text of this Article]

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