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Ann Thorac Surg 2001;72:455
© 2001 The Society of Thoracic Surgeons

Invited commentary

Bruce W. Lytle, MDa

a Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Ave, F-25, Cleveland, OH 44195, USA

e-mail: lytleb@ccf.org

A mountain of evidence indicates that the left internal thoracic artery (LITA) to left anterior descending graft improves early and late outcomes for a wide spectrum of patients having coronary bypass surgery. A lesser amount of evidence indicates that two ITA grafts may provide incremental clinical benefit when compared to the strategy of single ITA grafting. In this article Tector and colleagues examine midterm outcomes for patients with triple vessel disease where arterial revascularization is taken a step further, total arterial revascularization with only ITA grafts. To accomplish the average of 4.2 grafts per patient that were constructed, the . . . [Full Text of this Article]


Related Article

Purely internal thoracic artery grafts: outcomes
Alfred J. Tector, Monica L. McDonald, David C. Kress, Francis X. Downey, and Terence M. Schmahl
Ann. Thorac. Surg. 2001 72: 450-455. [Abstract] [Full Text] [PDF]






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