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Ann Thorac Surg 2008;86:1053-1054. doi:10.1016/j.athoracsur.2008.03.074
© 2008 The Society of Thoracic Surgeons
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Francesco Onorati
Giuseppe Santarpino
Attilio Renzulli
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Correspondence

Reply

Francesco Onorati, MD, Giuseppe Santarpino, MD, Attilio Renzulli, MD, PhD

Cardiac Surgery Unit, Magna Graecia University, Viale Europa Localitá Germaneto, Catanzaro, 88100 Italy

(Email: frankono@libero.it).

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

To the Editor:

We would like to thank Foroughi and colleagues [1] for their discussion and stimulating comments.

We agree that more focused evaluation between pedicled or skeletonized left internal mammary artery (LIMA) grafts should be related to endpoints that directly refer to the conduit itself or to the downstream myocardium. Anterolateral myocardial kinetics reflect LIMA to left anterior descending coronary artery (LAD) function. Perioperative troponins relate to both the effectiveness of myocardial revascularization and the quality of myocardial protection. However, when hospital outcomes are considered enzymatic leakage, myocardial functional recovery and the incidence of perioperative acute myocardial infarction (AMI) must be considered. Moreover, collateral circulation in patients undergoing three-vessel revascularization [2] may mask graft malfunction in the territory supplied by the graft. . . . [Full Text of this Article]


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Do Different Techniques of Left Internal Mammary Graft Harvesting Really Affect Hospital Outcome?
Mahnoosh Foroughi, Seyed-Ahmad Hassantash, Manoochehr Hekmat, Aliasghar Bolourian, Mehran Shahzamani, and Zahra Ansari
Ann. Thorac. Surg. 2008 86: 1053. [Extract] [Full Text] [PDF]





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Copyright © 2008 by The Society of Thoracic Surgeons.