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Ann Thorac Surg 1996;62:441
© 1996 The Society of Thoracic Surgeons

Discussion

Discussion

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

See also page 435.

DR LEONARDO LIMA (Paris, France): I congratulate Dr Burdon and his colleagues for the great work that they have done. I think that it is the beginning of a new era in cardiac surgery.

At La Pitie Hospital in Paris we did some experimental studies in pigs to assess the feasibility of LIMA-LAD grafting with or without a thoracoscope, before starting our clinical study. We think that to simplify that technique, for the LIMA-LAD anastomosis, the better approach is to harvest the LIMA thoracoscopically, and then to perform the anastomosis by means of a small left anterior thoracotomy (4 cm). We do believe that it is better and cheaper, in these cases, to carry out bypass grafting on a beating heart and without cardiopulmonary bypass. Myocardial protection, when it was necessary, was achieved by means of an intracoronary shunt.

Finally, I congratulate you again for this beautiful work. I believe that in the near future we will be able to bypass, thoracoscopically, more than one coronary artery.

DR VALAVANUR A. SUBRAMANIAN (New York, NY): I congratulate Dr Burdon and his colleagues. May I ask a question? Is . . . [Full Text of this Article]


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Port-Access Coronary Artery Bypass With Cardioplegic Arrest: Acute and Chronic Canine Studies
John H. Stevens, Thomas A. Burdon, Lawrence C. Siegel, William S. Peters, Mario F. Pompili, Frederick G. St. Goar, Gerald J. Berry, Greg H. Ribakove, Mark A. Vierra, R. Scott Mitchell, John M. Toomasian, and Bruce A. Reitz
Ann. Thorac. Surg. 1996 62: 435-440. [Abstract] [Full Text]





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