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Ann Thorac Surg 2004;78:2042-2043
© 2004 The Society of Thoracic Surgeons


Original Article: Cardiovascular

INVITED COMMENTARY

Michael A. Borger, MD

Division of Cardiovascular Surgery, Toronto General Hospital, 200 Elizabeth St, Room EN 13–217, Toronto, ON M5G 2C4, Canada

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

Mishra and colleagues have presented their results in patients undergoing combined carotid endarterectomy (CEA) and coronary bypass grafting over a 6-year period. They compared results in 166 patients undergoing off-pump surgery to 192 conventional on-pump procedures and found similar results for the two groups. The advantages of this study are its relatively large sample size and the excellent operative results. The perioperative stroke rate was 0.3% and the mortality rate was only 1.4%. These results are truly astounding for such high-risk patients, given that a meta-analysis of the literature revealed stroke rates of 6.0% and mortality rates of 4.7% for combined procedures . . . [Full Text of this Article]


Related Article

Concomitant Carotid Endarterectomy and Coronary Bypass Surgery: Outcome of On-Pump and Off-Pump Techniques
Yugal Mishra, Harpreet Wasir, Vijay Kohli, Zile Singh Meharwal, Rajneesh Malhotra, Yatin Mehta, and Naresh Trehan
Ann. Thorac. Surg. 2004 78: 2037-2042. [Abstract] [Full Text] [PDF]






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