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J Thorac Cardiovasc Surg 2004;128:799-800
© 2004 The American Association for Thoracic Surgery


Letter to the Editor

The difference is meaningful: Anatomic coronary-coronary bypass or physiologic coronary-coronary bypass?

Mathias H. Aazami, MD

Cardiac Surgery Department, Paris, France

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

To the Editor:

It was with great interest that I read the communication of Nezi and colleagues.1 The authors have renewed interest in coronary-coronary bypass (CCB) grafting by highlighting its complementary technical issues, especially in the setting of multiple left anterior descending artery (LAD) stenosis, which might require a synchronous multisided revascularization. The authors have advanced the presumed physiologic advantages related to CCB, aiming thereby to promote their current surgical alternative. However, the current case points out the vigilance . . . [Full Text of this Article]







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