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Cardiac general: Augusto D'Onofrio, Nicola Abbiate, Paolo Magagna, and Alessandro Fabbri Intraoperative coronary angiography in postinfarction ventricular free wall rupture: how technology can change diagnostic and therapeutic timing Interactive CardioVascular and Thoracic Surgery published on Apr 7, 2008 as doi:10.1510/icvts.2008.174904 [Abstract] [Journal Format PDF]

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eComment. Intraoperative coronary and graft angiography in the treatment patients with coronary artery disease

Leo A. Bockeria, Ekaterina A. Trofimova, Aziz. H. Melikulov, Ashot M. Grigoryan   (9 May 2008)

eComment. Intraoperative coronary and graft angiography in the treatment patients with coronary artery disease 9 May 2008
Leo A. Bockeria Bakoulev Scientific Center for Cardiovasc. Surgery, Roublevskoye Shosse 135, 121552 Moscow, Russia, Ekaterina A. Trofimova, Aziz. H. Melikulov, Ashot M. Grigoryan Send ecomment to journal: Re: eComment. Intraoperative coronary and graft angiography in the treatment patients with coronary artery disease leoan{at}heart-house.ru Leo A. Bockeria, et al.	Interactive CardioVascular and Thoracic Surgery 2008, doi:10.1510/icvts.2008.174904A © 2008 European Association of Cardio-Thoracic Surgery We read with interest the recent report by Augusto D'Onofrio and coworkers [1]. Intraoperative graft angiography is an important tool for quality control after coronary artery bypass grafting (CABG). Intraoperative angiography may represent a valid method for the diagnosis and treatment of patients with coronary artery disease [2]. On-table angiography saved a potential number of grafts that otherwise would have been occluded, and must be considered a necessary tool in the quality assessment of coronary artery bypass surgery [3]. We agree with the authors in the appropriateness of using intraoperative coronary and graft angiography in a hybrid operating room for diagnostic and therapeutic approach to exclude the fatal complications in patients with ischemic heart disease (IHD). Since July 2006 at the Bakoulev Center for CVS, RAMS, coronary and graft angiography has also been used if needed during open heart operations, including stenting in small and newborn children with pulmonary artery stenosis, patent ductus arteriosus - in summary 87 patients. References [1] D'Onofrio A, Abbiate N, Magagna P, Fabbri A. Intraoperative coronary angiography in postinfarction ventricular free wall rupture: how technology can change diagnostic and therapeutic timing. Interact CardioVasc Thorac Surg doi:10.1510/icvts.2008.174904. [2] Slonim SM, Miller DC, Mitchell RS, Semba CP, Razavi MK, Dake MD. Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection. J Thorac Cardiovasc Surg 1999;117:1118-1127. [3] Hol PK, Lingaas PS, Lundblad R, Rein KA, Vatne K, Smith HJ, Nitter-Hauge S, Fosse E. Intraoperative angiography leads to graft revision in coronary artery bypass surgery. Ann Thorac Surg 2004;78:502-5.