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Hisato Takagi
Takuya Umemoto
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J Thorac Cardiovasc Surg 2005;130:950-951
© 2005 The American Association for Thoracic Surgery

Letters to the Editor

Does the introduction of off-pump coronary artery bypass into aortic arch aneurysm repair minimize the period of myocardial ischemia and cardiopulmonary bypass?

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan

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

To the Editor:

We read with interest the brief communication by Yokoyama and associates 1 Go regarding the introduction of off-pump coronary artery bypass (OPCAB) into the simultaneous operation of aortic arch repair and coronary revascularization to minimize the period of aortic crossclamping (myocardial ischemic time) and cardiopulmonary bypass (CPB), but we disagree with the new solution for the surgical treatment of multiorgan arteriosclerosis by reason of the following.

Our strategy, which most cardiovascular surgeons may prefer, and Yokoyama and colleagues' procedure are shown in Figure 1. After the initiation of CPB, we perform distal anastomoses of coronary artery bypass grafting (CABG) during the core cooling under . . . [Full Text of this Article]


Related Article

Reply to the Editor:
Hitoshi Yokoyama
J. Thorac. Cardiovasc. Surg. 2005 130: 951-952. [Extract] [Full Text] [PDF]





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