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Ann Thorac Surg 2012;93:1962-1963. doi:10.1016/j.athoracsur.2012.03.039
© 2012 The Society of Thoracic Surgeons
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Original Articles: Adult Cardiac

Invited Commentary

Ki-Bong Kim, MD, PhD

Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul 110-744, Korea

(Email: kimkb@snu.ac.kr).

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

There is accumulating evidence that coronary artery bypass grafting (CABG) after previous percutaneous coronary intervention (PCI) is associated with higher early mortality and major adverse cardiac event (MACE) rates. Several possible explanations are addressed. Dysfunctional and denuded coronary endothelia after PCI initiate an inflammatory response with accumulation of platelets and neutrophils, resulting in microvascular thrombotic obstruction and distal microembolization. Coronary side branch obstruction resulting from stenting may lead to compromised collateral blood flow and focal infarctions. In addition, late structural changes may affect both the stented area and coronary artery territory distal to the stent, . . . [Full Text of this Article]


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Previous Percutaneous Coronary Interventions Increase Mortality and Morbidity After Coronary Surgery
Vito Mannacio, Luigi Di Tommaso, Vincenzo De Amicis, Vincenzo Lucchetti, Paolo Pepino, Francesco Musumeci, and Carlo Vosa
Ann. Thorac. Surg. 2012 93: 1956-1962. [Abstract] [Full Text] [PDF]





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