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Ann Thorac Surg 2002;73:1417
© 2002 The Society of Thoracic Surgeons

Invited commentary

John D. Puskas, MD, MSc, FACS, Associate Professor of Surgery (Cardiothoracic)a

a Emory University School of Medicine, Crawford Long Hospital, 550 Peachtree Street, NE, 6th Floor Medical Office Tower, Atlanta, GA 30308 USA

e-mail: John_puska@emoryhealthcare.org

Dr Yeatman and colleagues have addressed an important question, namely, whether hemodynamic derangements during off-pump coronary bypass surgery (OPCAB) are ameliorated by the use of an intracoronary shunt, rather than simple proximal snaring. The authors chose hemodynamic endpoints at baseline (5 minutes before cardiac manipulation), "expose position" (5 minutes into the construction of each coronary distal anastomosis), and "recovery position" (5 minutes after completion of each . . . [Full Text of this Article]


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Intracoronary shunts reduce transient intraoperative myocardial dysfunction during off-pump coronary operations
Mark Yeatman, Massimo Caputo, Pradeep Narayan, Arup Kumar Ghosh, Raimondo Ascione, Ian Ryder, and Gianni D. Angelini
Ann. Thorac. Surg. 2002 73: 1411-1417. [Abstract] [Full Text] [PDF]





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