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Song Wan
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Ann Thorac Surg 2001;71:570-571
© 2001 The Society of Thoracic Surgeons

Invited commentary

Anthony P.C. Yim, MDa, Song Wan, MD, PhDa

a Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, People's Republic of China

e-mail: yimap@cuhk.edu.hk

The reappraisal of the off-pump technique in coronary artery bypass grafting (CABG) has renewed interest in looking into myocardial protection. There is now a growing body of evidence to suggest that avoidance of the use of cardiopulmonary bypass (CPB) during CABG could limit myocardial injury. Penttilä and colleagues should be congratulated for attempting to address this issue further by studying cellular metabolites and myocardial injury in patients undergoing CABG with or without CPB (and cardioplegia). The authors found that off-pump CABG is associated with better myocardial energy preservation and less myocardial damage compared with the conventional approach. In the light . . . [Full Text of this Article]


Related Article

Myocardial preservation during coronary surgery with and without cardiopulmonary bypass
Hannu J. Penttilä, Martti V.K. Lepojärvi, Kai T. Kiviluoma, Päivi K. Kaukoranta, Ilmo E. Hassinen, and Keijo J. Peuhkurinen
Ann. Thorac. Surg. 2001 71: 565-570. [Abstract] [Full Text] [PDF]





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