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J Thorac Cardiovasc Surg 2008;136:1104
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor:

Domenico Pagano, MD, FRCS, FESC

Department of Cardiothoracic Surgery, University Hospital Birmingham, Edgbaston, Birmingham, West Midlands, United Kingdom

Dr Augoustides raises an appropriate point. It is the policy in our unit to discontinue angiotensin-converting enzyme inhibitors or equivalents 24 hours before the operation and for patients with impaired renal function, at least 48 hours before the operation. However our database does not have information on compliance to this policy. Therefore, we could not address this issue in our article.1Go

References

  1. Pagano D, Howell NJ, Freemantle N, Cunningham D, Bonser RS, Graham TR, et al. Bleeding in cardiac surgery: the use of aprotinin does not affect survival. J Thorac Cardiovasc Surg 2008;135:495-502.[Abstract/Free Full Text]




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